HomeMy WebLinkAboutHomestead_Dunigan (2) -t CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
trill STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R15I5-14) HC10
Prescribed by Pe Department of Local Govemment Finance
INSTRUCTIONS:See reverse side for fling instructions.
NOTE:Telephone,Social Security,drrver's License,state ident.Scabon and federal idenGScattn numbers are con5dentia/under IC 6-1.1-12-37.
CERTIFICATION STATEMENT _
I(We) Vanna Dunigan certify that I(we)occupied as .y urIII pal --�
place of residence or am(are)buying the following described real property under contract for which a Homestead Prop tit L.t
Deduction is hereby claimed on the date this application is signed, June 13,2019 (date of signature). I(We):❑ 2 /Own. 0 Am(are)buying under recorded contract J U N S 2019
❑ 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.
❑ Am(are) the shareholder, partner, or member of the entity that owns the property.
Name of claimant(legalname)
Social Securty number or dama:t(Bohn ag(s) Drivers bcense/ldentbon/Other number Issuing State
Soul Security number of claimants spouse(last five digts) Drivels bcense/Wen4ScabonI Other number Issuing State
of damant's Spouse(lair Foe acts/
CONTRACT RECORDED
If buying on contract,Fee Simple Doers name
Recorders a3re where contain is recorded Record number Page
PROPERTY DESCRIPTION
County Tovnstup Taxing dues(ay,form,toenthr4
Gibson Fort Branch
Parcel number Legal desmp• n Is the property in question:
26-18-13-404-000.179-026 OLD PLAN 223/224/225/226/227 (/1 Real popery ❑ Annually assessed(code hone(IC 6-LI-7)
If any portion of the residental structure or the land not exceeding one(1)acre that immediately surrounds that structure in used to produce income,desmbe the use and portion
of the property uttaed to produce income,
PROPERTY OWNED ELSEWHERE BY CLAIMANT //1
Sate,County,and Township Is de' •a homestead?
/ • rI No ^
SptuNr p1 /
I hereby certify the above statements are true,correct,and complete. �/ /
Address of contact(number and street.cry,rate,and ZIP code) Address ofvacated homestead,d any(nu. rand I.cry.ta.,end ZIProOe)
209 S.Main Street,Fort Branch,IN 47648
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON-RrE�51UENTIAL
Land not exceeding one(1)acre immediately
surrounding residential improvements (I)
Other land (2)
Total land(line 1 plus line 2) (3)
Residential Improvements or Dv/ening (4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (8)
I hereby certify the above is true,correct Signature of Assessor Date signed(mess,day yeas
and complete.
Verify, g amen-Signature of Audit Date signed(:omit,day yeas
2/- / 9
•
20 pay 20 Lesser of 60%of the assessed value of the homestead or S45,000
Notminstandirg any other provision,the sum of the deductions provided in 1C 6-1.1-12 to a mobile home S
mat is not assessed as real property or to a manufactured fame that is not assessed as real property may
not exceed one-halt(1/2)of assessed value of the mobile home or Manufactured home.
Signet.� I Auditor Date signed(month.day.xef
,�nor�e � z4— /
DISTRIBUTION: Costal-County Auditor,Ede-Stampedpry-Taxpayer