Homestead_ParishCLAIM FOR HOMESTEAD PROPERTY TAX FILE FORM
State Form 5473 (R13112-09)
STANDARD /SUPPLEMENTAL DEDUCTION 1 HC10
y� Prescribed by the Department of Local Government Finance DEC 2 9 2011
INSTRUCTIONS., See reverse side lot filing instructions. , ^ M --r2—
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.CERTIF.ICATION' STATEMENT -iq. t'?a
_JO5 ff"M t I (we) occupied as my (our) principal
place of residence or am (arp) buying the following described real property for whic-h'a-H'ornestead Property Tax Standard Deduction is hereby claimed
er contract on the date this application is filed, — (date of filing). I (We):
0 Am (a re) 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 residenm trust
Am (are) the shareholder, partner or member of the entity that owns the property.
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Social Security number of claimants spouse (last five di9ft) Drivers license I Identification I Other number
of claimant's spouse (last fim d4b)
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ACT RECORDED
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If buying on contracL Fee Simple owners name
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PROPERTY'OWNED'13l'.CLAIMAM1TIN OTHERCOUNTIES�;v�gt
hereby - true, comect and complete.
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._Y3'.�ASSESSOR USE. ONLYr'£`-. t�l{ �yTRUEiT I.ks..V—
NON-RESIDENTIALf y* yk
.`.Lr.` ?xs :.. ci•VAL•UE.
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[Verifying action - Signature . of Auditor
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_" .. r ;}r §TADARD,DEDUCTION AL
l l 60% of the assessed value of the homestead or $45,000
Notwithstanding any otherprovision, the wm of the deductions provided in IC 6- 1. 1-12 to a mobUe honae that is
not assessed as real property or to a rnanufactured home that is not assessed as real property my nor exceed
assessed-value
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