HomeMy WebLinkAboutHomestead_Schleter (3) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
v STANDARD/SUPPLEMENTAL DEDUCTION FORM
01 State Form 5473(R18/1-20) HC10
, Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
CERTIFICATION STATEMENT
I(We) Michael&Olivia Schleter certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real pro arty under contract.for_which.a.Homestead_P.roperty Tax Standard
Deduction is hereby claimed on the date this application is signed[7flra 1-. 9OaO .(date_of_signature)._C'(We):
lZ Own. D. 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.
❑ Am (are)the shareholder, partner, or member of the entity that owns the property.
CONTRACT RECORDED
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number .. ..e
x
PROPERTY DESCRIPTION
County Township Taxing district(city,town,township)
Gibson Barton APR
Parcel number Legal description Is the property in question: 2 3 2nzo
26-20-06-300-002.191-001 121 Real property 0 Annually assessed mobile home(IC 6-1. 71
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce Nome,des•.: •'e use and portion
of the property utilized to produce income. li/gsO •
'. ,
N COUNT I i.
Op
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,end Township Is claimant vacating a homestead?
❑ Yes No
-Signature_of,claimant r
I hereby certify the above statements are true,correct,and complete. y?�qA � //� 494 a,41
'Address of contact(number and street,city,state,and ZIP code)J Address of vacated homestead,if any(number and street,city,state,and ZIP code)
E �•1 a. I G N/A
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE NON- ESIDENTIAL
VALU
Land not exceeding one(1)acre immediately
surrounding residential im-orovements (1) . , - r•9 >
Other land (2)
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4)
annually assessed mobile/ ,. -
manufactured home Garage (5)Other improvements (6) ,
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.
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 or to a manufactured home that is not assessed as real property may
not exceed one-half(1/2)of the asse d value of the mobile home or manufactured home.
Signa r of Auditor Dategn=d(month, =a�0
-
DISTRIBUTION: Original-County Auditor,File-Stamped Copy-Taxpayer
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