Homestead_Parker (3) •
'" CLAIM FOR HOMESTEAD PROPERTY TAX
" ' '` STANDARD/SUPPLEMENTAL DEDUCTION FORM YEAR
•- State Form 5473(R1l I 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) Logan&Bryanne Parker certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, (date of signature). I(We):
121 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
0 Am(are)the shareholder, partner,or member of the entity that owns the property.
. N/A
Recorder's office where contract Is recorded Record number Page
PROPERTY DESCRIPTION
County Township - Taxing district(city town.township)
Gibson
White River White River
Parcel number Legal description Is the property in question;
26-02-58-017-003.149-018 PT MD 17 1-10 10 AC m Real property ❑Annually aeses��9�ry�����/[y`a'�le home(IC
If any portion of the residential structure or the land not exceedmg one(1)acre that immediately surrounds that structure Is used to produce income.describBM jse and potion
of the property utilized to produce income.
Giito
Co v
)i,v .
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Stets,County,and Township Is claimant vacating a horn
m Yes ❑ No TOR
I hereby certify the above statements are true,correct,and complete. _
Address of contact(number and street,city,state,and ZIP code) Ad• •sn of vacated homestead.if ony(number and sleet,city state,and ZIP code)
870 E St.Rd 56, Hazleton, iN 47640 1883 Carither's Road, Princeton, IN 47670
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL
VALUE.
Land not exceeding one(1)acre Immediately
surrounding residential Improvements (1)
Other land (2) ,
Total land pine I plus line 2) (3)
Residential Improvements or Dwelling (4)
annually assessed mobile I
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 a!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 assessed value of the mobile home or manufactured home.
Signalu of Auditor Dale signed(month,day,year)
►ry -a-
DiSTRIBUTION:Original-County Auditor.File•Stamped Copy-Taxpayer 'MOWED
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