Homestead_McNeece CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM HC10� State Form 5473(R18/1-20) - 2020
✓•' 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) Stanton&Judith C McNeece certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real pro nit a�ct"-for-which•a•Homestead.P_ropelty Tax Standard
Deduction is hereby claimed on the date this application is signed 1---p-1110�1r�(date•of signature),I(We):
I ,vr /19— —2I °
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.
If buying on contract,Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing district(city,town,township)
Gibson Patoka Township Patoka Township
Parcel number Legal description Is the property in question:
26-05-32-300-001.390-027 N SW 32 1 10 3.42 AC C-1 I71 Real property ❑ Annually assesse igble h ne /c 6-1.1-7)
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 use de)t„
of the property utilized to produce income. �n^ CU
Gje
O1 A' '•
PROPERTY OWNED ELSEWHERE BY CLAIMANT —
State,County,and Township Is claimant vacating a homestead? OR
❑ Yes m No
LSign -aft cla'Mant ��
I hereby certify the above statements are true,correct,and complete. `(/CJ/ lwi Llrl' /\/d//t//(
Address of contact(number and street,city,state,and ZIP code) Address of vacated homestead,if any(number and street,city,state,and ZIP code)
1894 N SR 65, Princeton IN 47670
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE I NON- ESIDENTIAL
VAL
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 lC 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.
Sign ure (Auditor .' Date signed onth,day year)
m . t IDO
DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer
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