Mobile Home_Truesdell .,LAIM FOR HOMESTEAD PROPERTY TAX F T J
�tAR
-._ STANDARD /SUPPLEMENTAL DEDUCTION gElliH
•
State Form 5473(R12/6-09)
tv Prescribed by the Department of Local Government Finance `'I V I N 2 n L U l U
INSTRUCTIONS:See reverse side for filing instructions. J
I ' I /
r , • ' ' . ' CERTIFICATION STATEMENT - - , . ,
�.( l GIBSON COU 17( AUDITOR y
I(We) J Zotzta d�2...tu s Gently a I(we)occupied as my(oL`q principal
place of residence or mare)buying the following described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the date this application is filed, (date of filin
g):
(We)own El Am(are)buying under recorded contract
Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
CLAIMANTS INFORMATION - • .
•
Name of claimant(legal name)
/ r4 e l/-Li 5 oft-//
Social Security number of claimants spouse(last five digits) Drivers license/Identification I Other number Issuing State
of claimants spouse(last five digits)
.. _ CONTRACT RECORDED - - .
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
. - PROPERTY DESCRIPTION . .
County Township Taxing dirc( ./Q1'town,township)J —-
a , - , - fl �
3/-o ! i�.(/YI Bat' l
Pa I number Legal description t✓ n Is the property in question:
CC1 _\\�-K 0Real property Annually assessed mobile home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is u to produce Intone,describe the use and portion
of the property utilized to produce income. -7 [�
/7-ZS,-9a0 _ •
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES . . •
County Township County Township
aima •
I hereby certify the above statements are true,correct and complete. Sign re of rim ^ //
Address(number and street,any,state,and ZIP code) q •/Gt-(,,(•�(!,/_�i�CX��L/0/ILI�L�
• • ASSESSOR USE ONLY .- I TRUE TAX VALUE I AAT 100%OF TTV I . HO VALUEAD I „. NON-RESIDENTIAL
Land not exceeding 1(one)acre immediately L'%. ` nk r' i-4 .'r�•-s`eip dF
surrounding residential improvements. (1) .. ..,,` '#�;.t s ., +.Ks.�,
c. EV):3
Other land (2) ;�v-'-y`;= , _.&� -
Total land(line 1 plus line 2) (3)
X. y xr
Dwelling (4) •-:3:......fir ✓s... . 4. xr 4
Residential Improvements or Annually '� - '
1 rT d ..fir.
Assessed Mobile/Manufactured Home Gara e AZ-r F` p"<' - /,..
9 (5) ;,-.7.7 ..iz` - q ..lii e..
Other improvements (6) t i , vs ..
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
and complete. \ I /�1' f�
Vaifying action-Signature of AuditorAuditor , \�\\I \ I R Date signed(month,day,year)
® ' . ,• • r ��: `STANDAR,DEDUCTION ALLOWANCE -
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home that is $
not assessed as real property or to a manufactured home that is not assessed es real properly may not exceed .
one-half(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)