HomeMy WebLinkAboutHomestead_Heldt (3) ' ,.•;. CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR:
.i:`'.. STANDARD 1 SUPPLEMENTAL DEDUCTION n^
?�f ,, Stele Form 5473(R18/1-20) HC10 � W
•y` •. 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 r - .` ..
I(We) Heldt..Jason.L 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, 12/03/2020 (date of signature): I(We):
11 Own. 0 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.
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SocrstSoeurity numberol claunedl's'spouse'(Issf be"its). Diverclbanse/ldenl'aicatiod/Otheinuntber of elabnanl'o spouse•(laptrve4klils)l Issvinp State
(Applicable only if applicant's spouse does not have a social security number.)
CONTRACT RECORDED . '
• It buying on contract,FeeSimple owner's name — - '
tlecordnts office where contract is"recorded - - _Receid numbtit "Dee': ;)
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PROPERTY DESCRIPTION
County - . TeCvaship. Taxing district(city,town,township) '
Gibson 028 028
Parcel number " " - Legal description - - Is the property in question:
m Real property 0 Annually assessed mobile home(IC e-t,1-7)
'new pottlpn el lhq fesidentia14tructure er Iho-tiled 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.
26-12-07-103-000.952-028
PROPERTY OWNED ELSEWHERE BY CLAIMANT
:state.County.and Township Is claimant vacating a homestead?
m Yes ❑ No
Signature of darmantD
I hereby certify the above statements are true,correct,and complete.
Address of contact(number and street.city,state.and ZIP code) Address of ed homestead if any(number and street,city,state,and ZIP code)
429 W Emerson, P'ton, IN 47670 244 N CR 700 W Petersburg;IN 47567 - -. .
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE NONRESIDENTIAL
%ml t„
' 'sbrcoLtidd not exceeding
nq eeld nlialImpracre oveoensdtatatg (1)
Other land (2) A a
Total land(line 1 plus line 2) (3) DEC
1 5 2020
Residential improvements or Dwelling (4)
annually assessed mobile I .
manufactured home Garage (5) _ .. 1
Other improvements 16)
Total improvements.(llne4 through line 6) (7) . GIBSON COUNTY AUDITOR
Total value (line 3 plus line 7) (8)
y
I hereby certify the above Is true,correct, Signature of Assessor Dale s:ned(month,day,year)
and complete.:
Verifying action-Signature of Auditor Dale signed -•nth,day,year) .
STANDARD DEDUCTION ALLOWANCE - ,
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000.
Notwithstanding a other p vision,the sum of the deducli 'ed in IC 6-1.1-12 to a mobile home $
that is not assesse as re' roperty or to a manufact home that is of assessed as real property may
not exceed one-ha (1/2) lie assessed value of e mobile home or Anufaclured home.
Signature of Auditor -• 'J Dale iglr T. YFr e
tsto
DISTRIBUTION: ginal- o I ty udilor,File- tamped C -Taxpayer
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