Homestead_Mundy `—"_, CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
a ' STANDARD/SUPPLEMENTAL DEDUCTION I HCR0
I � jY State Form 5473(R18/1-20)
�/ 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) William E. &Heather D.Mundy 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):
•
QJ 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.
❑
County Township Taxing district(city,town,township) 1
3
Gibson Princeton '
d
Parcel number 'Legal description Is the property in question: I C t
26-11-11-300-004.032-028 m Real property ❑ Annually assessed mobile ho,e rit 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,descri r�the use and p�ocO?O
of the property utilized to produce income.,:. > G )(4 ,
/eSoN coi.Cligijae
Nr), ,
PROPERTY OWNED ELSEWHERE BY CLAIMANT I.
State,County,and Township - Is claimant vacating a homestead? Op
I] Yes 21No
ly Signal�re f da' -t
I hereby certify the above statements are true,correct,and complete.
Address of contact(number and street,city,state,and ZIP code) Addles f ed homestead,if any(numbe tiii street,city,state,and ZIP code)
2042 W 50 S., Princeton, IN 47670 •
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre immediately •(1) '
surrounding residential improvements •
, , ,
Other land (2) z.=• . . .k' x •
Total land(line 1 plus line 2) (3) •
Residential improvements or Dwelling (4) ,tJ .I
annually assessed mobile I ', .
manufactured home Garage (5) °r ( -
:
Other improvements (6) i . '.`4
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 o;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.
Signal re of Auditor Date signed(month,day,year)
i.i.,.._____) IL, /ry, e
DISTRIBUTION: Original-County Auditor,File-Stamped Copy-Taxpayer T.
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