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Homestead_Long •rm CLAIM FOR HOMESTEAD PROPERTY TAX YEAR STANDARD I SUPPLEMENTAL DEDUCTION FORM 'L`?% State Form 5473(R18/1-20) HC1 O m 1. Prescribed by the Department of Local Government Finance INSTRUCTIONS:See reverse side for filing instructions. NOTE:Telephone,Soda!Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37. • CERTIFICATION STATEMENT I(We)_ r �. Michael and Laurie Long �� i� certify that I(we)occupied as my(our)principal place of residence or am re)buying the following described real property under con fact for which a Homestead Property Tax Standard Deduction is hereby clai d on the date this application is signed, April 30,2020 (date of signature). 'I(We): © Own. ❑ 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. ' Recorder's office where contract is recorded Record number Page 4 j PROPERTY DESCRIPTION t r County Township Taxing district(city town,township) 1 a Gibson Union Fort Branch, UnionV ,,.;:.,.,,,..„) • Parcel number Legal description Is the property in question: n^,^ '�L 26-19-13-400-002.454-07 PT SE 13-3-10 2.03 AC D-10 II Real properly ElAnnually assessed mobile Cc <(C 1. - If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the u and portion of the property utilized to produce income. F ' o�N� PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County,and Township Is claimant vacating a homestead? • ❑ Yes 0 No Signature of claimant e ,,,��� I hereby certify the above statements are true,correct,and complete. 1 A$—a� `.ff� Address of contact(number and street,city,state,and ZIP code) Address of vacated homestead,if any��(number and6 reet,ci state,and ZIP code) ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL hr.\ ~ VALUE Land not exceeding one(1)acre immediately surrounding residential improvements (1) 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 a manufactured home that is not assessed as real property may not exceed one-half(1/2)of the assess value of the mobile home or manufactured home. Sig u of Auditor Date signed(month,day,year) RECEIVED r�' -�— S'v(-QO .C) DISTRIBUTION: Original-County Auditor,File-Stamped Copy-Taxpayer MAY 0 4 7020 Page 1 of 2