Homestead_Wright :,, CLAIM FOR HOMESTEAD PROPERTY TAX YEAR I
2022
1; STANDARD(R16/SUPPLEMENTAL DEDUCTION FORM
cipp.
Slate Form 5473 /1-20) HC1D
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) Ashley&Molly Wright 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, 12/2/2022 (date of signature). I(We):
Z Own. ❑ 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.
CLAIMANT'S INFORMATION
Telephone number of claimant
If buying on contract,Fee Simple owner's name
Record number Page
Recorders office where contract is recorded
PROPERTY DESCRIPTION
County Township Taxing district(city,town,township)
Gibson Columbia Columbia D
Parcel number Legal description Is the property in question. EC 2
m Real property ❑ Annually assessed mobile homeT1C 6-1./�,�
26-14o29-200-000.707-e or PT NE 28 in 8 13.50 AC ^_�
1l any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce incyrRgGyeacrtbe the use and portion ' T`�,, ,�
of the property utilized to produce income. �• CL'' �J
G/gSON COU y�/Q2`, R
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Is claimant vacating a homestead?
State,county,and Township
Yes ❑ No
Indiana, Gibson,Columbia
Signature of cl rat ,�
I hereby certify the above statements are true,correct,and complete.
X //////������
Address ddd of vacated o es if any mbar and street,city.state,and ZIP code)
Address of contact(number and street,city,state,and ZIP coda) m
13090 EE 275 S,Oakland City, IN 47660 302 W. 3rd Street, Patoka, IN 47666
NON-RESIDENTIAL
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE VALUE
Land not exceeding one(1)acre immediately (t)
surrounding residential improvements --
Other land (2) - -
Total land(line 1 plus line 2) (3) -- - -- -
Residential improvements or Dwelling (4)
annually assessed mobile/ I Garage (5)
manufactured home
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6) Date signed(month,day,yeah
Signature of Assessor
1 ereby certify the above is true,correct,
and complete. Date signed(month,day year)
Verifying action-Signature of Auditor
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 $
nhottexceed one-half(1/2)of the a assessed value or to a nof the mobile home orufactured home that/ reals not assessed as property may
is not assess as real manufactured home.
c..A-\t..:,....__D( ,ist- s,. Date signed(month,day,year)
Signature orP++ditor 1 __,. _ _z z
DISTRIBUTION: Original-County Auditor.File-Stamped Copy-Taxpayer
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