Homestead_Curry (2) CLAIM FOR HOMESTEAD PROPERTY TAXit.;" i it j C O FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION HCI0
State Form 5473(R78/1-20)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instnictions.
NOTE:Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
I(We) m OI.CC V tr"\ TA�O 1" W a'del e I l .__certify that I(we)occupied as my(our)principal
place of residence or am(are) ying 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, - I ate' (O-' I _...(date of signature). I(We):
(L3'Uwn. ❑ 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.
El 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 owners name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County L.... Town hip Taxing district(city town,township)
___._..__._.... .-.escn ----.—. pro rty question.
Parcel number Legal tl ption �Is the
m
n/-^I 2&2- 4 ; 716^'C'7 9 tt Real property ❑ An Il assessed m no a( )
If atQ J CI r" sed to produce me. scribe the use a
If any portion of the si ntial structure or the land not exceeding one )acre that immediately surrounds that structure i .L'0 "'
of the property utilized to produce income
G/QSON e . ?O?,oY f�.-
J
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is claimant vac. ,t,r --lead?
❑ Yes n o0R
Signature of clai ant
I hereby certify the above statements are true,correct,and complete.
Address of contact(number and street.city state,and ZIP code) Address ruled homestead.if any(number and s et,city,state.and ZIP code)
' - ti _ ‘t20 S t-)x-kik.losrctcdfi 1 Ni(MOa
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre immediately (1) .,. ,�?
surrounding residential improvements '
Other land (2) -tt.___-_...".. ilk ., �. ti?kic ',•.v7.:.
Total land(line 1 plus line 2) (3) _ r
Residential improvements or Dwelling (4) �`_ ____ _-__..._ rx•f ,
annually assessed mobile/ -_--'"-
ear
manufactured home Garage (5)
•.,
Other improvements (6) F��" r
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)Signature of Assessor Date signed(month day.year)
I hereby certify the above is true,correct,
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 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 f the mobile home or manufactured home.
Signature of Auditor t/. Date signed(month,day,year)
DISTRIBUTION: Original-County Auditor.File-Stamped Copy-Taxpayer
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