Homestead_Taylor silt
,,, -----. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD/SUPPLEMENTAL DEDUCTION FORM
j State Form 5473(R18/1-20) HC10 1 [ .20
**. r 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) TO xi 11^-Sce a rux Akylote- 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, 0-/0--r, t (date of signature). I(We):
ri-Own. 0 Am(are)buying under recorded contract.
[_.] Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
El Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust.
Ell Am (are)the shareholder, partner, or member of the entity that owns the property.
CLAIMANT'S INFORMATION
If buying on contract,Fee Simple owners name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing district(city town,township)
li.
UAZ bil
Parcel number Legal description 'Is the property in question'
D'iire'a.7-Property Iii] Annually assessed mobile home(/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 and portion
of the property utilized to produce income
P G)-I/-I 6 -qco -co/. oi/-g)
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County.and Township Is claimant vacating a homestead?
iEE/ `teS [11 No
Sig a re of
I hereby certify the above statements are true,correct,and complete. /
Ot-P_ qt.
Ilir
Address of contact(number and street.city,state,and ZIP code) Address of vacated homestead,if a mai ber and street,city,state,and ZIP cede)'
,3‘o? G-.. 754.5 Ff-gra.vick .1--1,1 q74e-le 30-7 Al 14.6e-51-: 'au 1:+31.4 *Tajo 431
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
,, ,,,...
Land not exceeding one(1)acre immediately
surrounding residential improvements (1) 7-77777777.—77.7-47. 2- `.?I.-`'w
11111111111 ,-,-.-,-, 1.'4,-_,-.:'•=f,A,,, :,.,: -z,.,.'
-.,..i,VW.r''.,;Fe,'',-•A.-'-.4..r""
Other land (2) -op o.L449-004
kattiStatai. ..1,1MWAitli
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4) {;;,''':,..), fl''',,',',:'.''.:::r7;--.--i[;:.•t,s4
annually assessed mobile/
manufactured home Garage (5)
Other improvements (6) W.tr:111:W4S':tail _ al II Ill imp:_ D
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8) ,
Signature of Assessor Date.i,LIEG,d4 do,2021
I hereby certify the above is true,correct,
and complete.
Verifying action-Signature of Auditor ,,Date signed(month.day,ye.)
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(1/2)of the assessed value of the mobile home or manufactured home.
Signature itt/cde erl,/ Date signed(month,day year)
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DISTRIBUTION: Original-County Auditor,File-Stamped Copy-Taxpayer
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