HomeMy WebLinkAboutHomestead_Taylor R CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
: 1 STANDARD/SUPPLEMENTAL DEDUCTION FORM
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a.\ ;��' State Form 5473(R7811-20) ^� "—
e�.1' 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) C 72 I I 6 i • , certify that I(we)occupied as my(our)principal
place of resident m(are)bu 41 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):
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Own. ElAm(are)buying under recorded contract.
m(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.
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CONTRACT RECORDED
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing district(city,town,township)
son 0 � ' 02�
Parcel number Legal description Is a property in question:
eat property ❑ Annually assessed mobile home(IC 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 and portion
of the property utilized to produce income.
ajO ��C\ IC.-- .00 —00\ 000 -02 s-
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Signature of claimant v l
I hereby certify the above statements are true,correct,and complete. �.. 4-a�-Y�-�
Address of contact(number and sheet,city,state,and ZIP code) Address of va�ca d homestead,if any(ndu77»„ber and street, ',state,and ZIP code)
&---tad L 93 as A - 3.Yl - `i I-6 to
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre immediately (1) .
surrounding residential improvements 0
Other land (2) F . LED
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4)
annually assessed mobile/ NI V 0 9 2020
, ,
manufactured home Garage (5)
Other improvements (6) ie
Total improvements(line 4 through line 6) (7) 1i r -74I)70 1,
Total value (line 3 plus line 7) (8) GIBSON OUNTY AUDITOR
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 prov" '•n, sum of the deductions provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real p••-•y�to a manufactured home th assessed as real property may
not exceed one-half(1/2)oft •ssed value of the mobile e or man factured home.
Signature of Auditor 1 Date sign (month,da, ey ad
a r �1 �-� � < < �aq. (tom^/�
DISTRIBUTION: Original-County Auditor,File-Stamped Copy-Taxpaye
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