HomeMy WebLinkAboutHomestead_Osborne (2) 1 •
e 4�. :CLAIM F..OR HOMESTEAD PROPERTY.TAX •' ' . ' - '.'• c:NEAR'
STANDARD/SUPPLEMENTAL DEDUCTION ` cRo
't State Form 5473(R18/1-20)
1 Prescribed.by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:-Telephone,Social Security,;drivers license,state identification and federal identification numbers,are confidential under IC 6-1:1 12 37.- - _;
CERTIFICATION STATEMENT
I(We) 'OA 1 a e1 �k..4_L-k nc_ '5rjc e_.certify that?(we)occupied as my(our)principal
place of residence'or'am(are)buying the following described real property',under contract forwhich,e Homestead Property Tax Standard
Deduction is hereby Claimed on the date-this application its signed, ' -$—:QQ.... I (date of signature). I(We):
P vn. ❑ 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 ' - .,
Recorder's office where contract is recorded - Record number Page
PROPERTY DESCRIPTION
County-' 1^ � Taxln district(city town township)•-�-
Parcel number Legal description ' l Is the property in question:`' '
I [1l,Real 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.
t.9� r1a—OLP — aokAr 03L . \'' --C
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State; aunty oar Township /1' ''' '.' `' '' '. L. ,' ' Is claimant'vacating a homestead?
.� a ^,C- 1 tr 1/4.. x_t- yC e 4 ❑ Yes 0 No
',.Signature of claimant _
I hereby certify the above statements are true,correct,and complete. ''y`/ '-
Address of contact(number and street,city,state,and ZIP code) Address ofss vacaead,if any(number and street,.city,state,and ZIP code)
... ., .r . ' ; t.,.36.7( L ♦ _. . ®4&
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I NON- ESIDENTIAL
VALU
Land not exceeding`one'(1)acre immediately ' . -
surrounding residential improvements" (t).
�l
Other land (2)
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4) ia'", z.
annually assessed mobile/ �A ,
manufactu om red he', Garage (5): • • 'v/ p a .
" /f �T
Other improvements (6) _ .� O?
Total improvements(line 4 through/ine 6)• (7) 01
Total value (line 3 plus line 7) (8) cob,
Signature of Assessor Date ignOTrhtl,�r�J
I hereby certify the above is true,correct, ""► U
and complete. Oi
Verifying action-Signatures of Auditor Date signed(month,day,year) °R
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,or to a manufactured home that is not assessed as real property may
not exceed one-half.(1I2).of the assessed value of the'mobile hone or manufactured home. _
Signature ofAuditor . ' • Date signed(month,day,year)
. (-N Q c lt� �
. ' ,. .o (ysic-L) _ 3-p-aoa
DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer
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