Homestead_Armstrong CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
, �1 STANDARD/SUPPLEMENTAL DEDUCTION
1'0rlclo ��G-.
• State Form 5473(R18/1-20)
_ 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) ' _1( ).P-ei11e 1/�f I Q el a Th S"tv certify that I(we)occupied as my(our)principal
place of rest ce or am(ar=-•buying the following described real pro rty under contract for which a Homestead Property Tax Standard
Deducti is hereby claimed on the date this application is signed, (date of signature). I(We):
wn. ❑ 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.
!
CONTRACT RECORDED
If buying on contract,Fee Simple owner's name
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Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Townshi Taxing district(city town,township)
Parcel numberLegal description V/v i thel-property in-question:
g/ -/p Z f J ZOO
— Cy12.—�6S O i7 •
Real property ❑ AnnualRT{tES ed )ee home� (IC 6-71- El)
If any portion ofthe lresidential lstructure forr/the land not exceeding one((11-))acrey that immediately surro tls that structure is used oduce income.descri ..portion
of the property utilized to produce income. 1
oiesoa cov,.0 r /•
M
O,
State,County.and Township Is claimant vacatin2Le.hemestea .
❑ Yes o
turn of clai -nt
I hereby certify the above statements are true,correct,and complete. - /
p Wee. �., ' ' , A/.�/L./ e
Address of contact(number and street.city,state.and 2 code) "dressof vacated homestead.if any(number-nd street.city. -.rte.and ZIPcode
Flo //� and
- `� -yg_�'/73
ASSESSOR USE ONLY ASSESSED VALUE 1 HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre Immediately (1) -;:ati tl xx ::{_:"-
surrounding residential improvements _. , -
Other land (2) _ �'�i 5'�ARl `l
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4) 4c
annually assessed mobile I ^ �� �� -der.
� w „
manufactured home Garage (5)
Other improvements (6)
Total Improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
Signature of Assessor Date signed(month day.year)
1 hereby certify the above is true,correct,
and complete.
Verifying action-Signature or 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.
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Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $ /
�(j.. 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 th obile home or manufactured home. V
'' Signatur o Auditor i
17 Date:red year)
A.-e-ficv../._-•4 0.,40,7, i .
2,2...z..._ ,,,,,:,),,, ,
DISTRIBUTION: Original-County Auditor.File-Stamped Copy-Taxpayer
ge 1 of 2 \7.---