HomeMy WebLinkAboutHomestead_Haig (4) ••^•v CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
4/3
a v' FORM
-I . ?•� STANDARD/SUPPLEMENTAL DEDUCTION 1' State Form 5473(R18/1-20) HC10 2021
,'a-+
° ;✓ 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) Bryan& Elizabeth Haig certify that I(we)occupied as my(our)principal
place of residence or am(are)buying the following described real properly
under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, I' tea- 4::Q 04 I (date of signature). I(We):
0 Own. ❑ Am(are)buying under recorded contract.
O 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.
CLAIMANT'S INFORMATION
)
CONTRACT RECORDED
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 Gibson, Patoka Township
Parcel number Legal description Is the property in question:
26-12-05-100-000.018-027 E PT SW 8 NW 5-2-10 15 AC Forest Reserve c-1 12I Real property
Signature tclaimant n
I hereby certify the above statements are true,correct,and complete. y
Address of contact(number and street,city,state,and ZIP code) Address of vacate omestead,if any(numbe s reef,city,state,and ZIP code)
929 N. Carither's Road, Princeton, IN 47670 106 E Williams St., Ft Branch, IN 47648
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE I NON-RESI
DENTIAL
VALU
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 I
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 Dale 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 properly 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.
Signature of Auditor Date signed(month,day,year)
nt. . l3C - ,t• MS , I — al cQQ 0
DISTRIBUTION:briginal-County Auditor,File-Stamped Copy-Taxpayer
Page 1 of 2