HomeMy WebLinkAboutHomestead_Hyde CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
r� fl STANDARD!SUPPLEMENTAL DEDUCTION FORM
�' Sum Form 5473(R17/1-16) HC10
Prescribed by the Department of Loth Government Femme
INSTRUCTIONS:See reverse side Alrgrg inslrucgons.
NOTE Telephone,Social Smutty dimes 5oense,stale and federal;dent:fa on numbers are confidante!under IC 6-1.1-12-37.
I(We) • certify that I(we)roweled as my(our)principal
plate of residence or ) e foTovAng desrnbed real property under contract tar which a Homestead Property Tax Standard
Ded is hereby claimed on the a this application is signed. (date of signature). I(We):
OwD ❑ An(are)buying under recorded contract
❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest N the trust a the right to occupy the property under the terms of a qualified personal residence trust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
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1I
Sour Seaway numbs/ddr®aas spouse(tor live dots)I Drivels bras*/Idetfxaban/Oaie number of charts sparse gainrbgyp) .' ED
(Appicatie or/ydep espouse does not have a=Jai seamy mlxfber.)J9Rl�
era°_. .F..c-tea +Lt - __ t y CONTRACT RECORDED •---.c - @o:-Y_--.- ' --: _: *us:_J
mbuying arc OW,Fee Sample outsrmne
! j JUL 1 8 2018
Remdefa Dace abate contrast is recorded
I Rand utter Page
_ p 12.
• OR
County Township • Taming dstt(ay,town trsmaIp)
F ___
Parcel reamer lets aao • Is the property F questa=
❑Real pr:Psly ❑Smith assessed amble Mrs(/C 61.1-1)
II erg paten of Ow residual mare or Is ta'd not mewing one(1)sous toe atmrdately snub that eaaaa is used to pro nxe inure,describe Is use at portico
of Is goperty ilfzed b podxe Irma
24 - 1g- 24 -202-7o 1 ; cto -0 2,4
_. °', 'Fb".rt c a -RROPERTY iiitr J ECSE:VHERE OYtCLAIhi?NT F :_iL7-c 77.: 1.-7-
Ste,Coady,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Sputa*el Wimat se-I hereby certify the above statements are true,correct,and complete. Y n 0 S• //,„ i l
L��C� rrmYS- •sleet a1y:amt . .z/wmdr) 5`
Address of'sated hmm>teed,6 any(number/WWshed.ay stager'.end 21P cods)
Xc.., A - , . NOI.--RESIDENTIAL
, S_SS 'tJSEONLY' 641._ . I 'ASSESSED VALUE 41 HOSIE_STEAD VALUE I - - VALUE -frr 'Y
Land not exceeding• (1)acre Immediately (1) '.� zs. >'t-ate,*ti�}+y•.. ,-'f
surrounding residentil i mpewemenb ':'4�.-`±
Other land g°4 r
Total land(lie 1 plus line 2) (3)
Residential ease Improvements or Dwemng (4) - _ " _n 6'
annually assessed mobile!
} t"tmanmtadumd name Garage (6) ,,4 f Ot ` :i
-' � k>'�
Other Improvements (6) l_¢-s,-:)d- ti;t2 U,•--:.yr.
Total improvements(file 4 through line 6) (7)
Total value (line 3 piss line 7) (8)
I hereby certify the above le hue,correct
Signature of Assessor DU ttaad(rxuth,dT:was
and complete.
Vasy'vg ration-Swam of AUdtar Oats signed(moth,day,yew)
- _ - - ,i STANDARD_DEDUCTlONALLOWANCE "'•�.x' - 2. "- - .—d.; _
20 Pay 20 Lesser of60%of the assessed vane of the homestead or$45.000.
Ndeithslantf g any ore prov son,the sum of the deductions provided in IC 6-1.1-12 to a mobile home S
that is not assessed as real propery or to a manufactured home that is not assessed as real property may
not exceed one-hat(1R)d the assessed rate of bane or narmdadwed home.
AUdmn Dam signed(re a clay,leadean&1i . C ) 1- $ -a
.
DISTRIBUTION:Oriel-OxashAu6W.Foe-Smmed Copy-Teware
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