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Homestead_Morgan
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR '' STANDARD/SUPPLEMENTAL DEDUCTION FORM � �r„ Form State 5473(R17/1-76) HOW Prescribed bythe Depadmentaf Local Government Finance INSTRUCTIONS:See reverse side forfiing instructions. NOTE:Telephone,Social Security,driver's license,state idenfification and federal identification numbers are confidential under1C 6-1.1-12-37. CERTIFICATION STATEMENT • I(We) 'NO\NA S. „ fir certify that I(we)occupied as my(our)principal place of residence or am(are)buying the follow0 described real property under contract for which a Homestead Property Tax Standard i (datD uction is hereby claimed on the date this application is signed, e of signature). I(We): Own. ElAm(are)buying under recorded contract. m(are)entitled to occupy as a tenant stockholder of a cooperative housing corporation. ❑ Have a beneficial interest in the trust or the tight 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. - Ifbuying on contract Fee Simple owner's name Recorder's office where contract is recorded J A N 0 3 2020 Record number Page PROPERTY DESCRIPTION County Township :',1f1"Q,` wnshIp) .-0� • II V'11Rt•• (f��Rl� GIBBON v©UNT p per�rin gYetflon: Parcel bar Legal description • Real property 0 Annuallyassessed mobile home(lC 6-1.1-7) If any portion of the residential structure or the land not exceeding one(1)acre that immediately surm s structure is used to produce income,describe the use and portion of the properly utilized to produce income. �6 ' -10,11400 " 002 ‘ 68 - 00 ) PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County,and Township Is claimant vacating a homestead? 0 Yes 0 No ' Signature of claimant 1 I hereby certify the above statements are true,correct,and complete. � 6`,�^" L/ Address of contact(numberand vice;city,stale,and ZIPcode) Address of vacated homestead,if any(number and street,city,state,and ZIP code) A. ' 1_0 ( 6,SvI S t0) A ` -.9v)- ASSESSOR USE ONLY ASSESSED VALUE f HOMESTEAD VALUE f NUN RVEALIUENTIAL 6 T Land not exceeding one(1)acre Immediately I N U surrounding residential improvements (1) x Other land (2) ..; . • Total land(line 1 plus line 2) (3) • Residential improvements or Dwelling (4) ,. z annually assessed mobile I manufactured home Garage (3) ::W_.__..., Other improvements (6) ? Total improvements(line 4 through line 6) (7) Total value(fine 3 plus line 7) (8) I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year) and complete. Verifying action-Signature of Auditor Date signed(month,day,year) • STANDARD 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 orto a manufactured home that is not assessed as real property may not exceed one-hat(1/2)of the assessed value of the mob - ,ome or manufactured home. Signature ofAuditor Date sign. (mores/ld-ay�,,year) '-• ' -- Yiel‘ It".‘ all - . DISTRIBUTION:Original-CounfyAuddor,File-Stamped Copy-Taxpayer Page 1 of 2