Homestead_Kyle ^^... CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
P % STANDARD/SUPPLEMENTAL DEDUCTION FORM as
i[ State Form 5473(R18/1-20) HC1 O
A ,-,- -E Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE.'Telephone,Sodal Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
I(We) fad Q. '' /F/.iCq `aria /I 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, (date of signature). I(We):
Own. ❑ Am(are)buying under recorded contract.
Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
D 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
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
cr.., // Town hip 2yeic ;nr
Parcel number Legal description e ir 'f / Is the property in question:
2L—if )f ��0 3 2�O1 ♦--1 7,'f ��y�at 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.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is claimant v tin meslead?
El Ye o
Signature of claimant n
I hereby certify the above statements are true,correct,and complete. ,/ t/
Address of contact(number and street,city stale,and ZIP ode), ♦ /I` .L7/ 1,dress cf vaca�stead,if any(numbe an ree',city state,and ZIP code)
ASSESSOR USE ONLY
ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre immediately (1)
surrounding residential Improvements
Other land (2)
F IL i ' III)
---
Total land(line 1 plus line 2) (3) -
Residentialimprovementsor Dwelling (4) - -annually assessed mobile/
manufactured home Garage (5) y 2022
Other improvements (6) NOV1`t 1/J �C�jL't '/`'Y///
Total improvements(line 4 through line 6) (7) `%,� �^i+Ili YLZr�/�7+�
Total value (line 3 plus line 7) (6)
signature of Assessor GIBSON COUNTYDl1&JiknaWifen,day,year)
I hereby certify the above is true,correct,
and complete. -
- - -- -_-- - --_ --
Verifying action-Signature of
signed e(Auditor (month,day.year)
STANDARD DEDUCTION ALLOWANCE '
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20 pay 20 Lesser of 60%of the assessed value of the homestead or 645,000.
(�r
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home $ V
that is not assessed as real property or to a manufactured home that is not assessed as real property may
lit not exceed one-half(112)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,yeah
�weLiN•^/M'r�' W Il i spa ::;
DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer r/
,p... Page 1 of 2 \L:tN
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