Homestead_Dunigan Ms,--",,..• .4 CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
�;t % STANDARD/SUPPLEMENTAL DEDUCTION FORM
` 202.3
� State Farm 5473(R18/1-20) HC10
to,'�} 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) 'l' f!v )/14. beflJ tittpi gait certify that I(we)occupied as my(our)principal
place of residence or=m(are)buying the following desdribed real property under contract for which a Homestead Property Tax Standard
Deduction is hereby claimed on the date this application is signed, 9-/'--/- 2.02 3(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.
❑ 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.
-
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Towns Taxing district(city,town,township)
l h 5� l and Cli
Parcel number Legal description Is the propery ion:
ar
'^"6:>'!14,., 1 6-3p`3 30 3- eat properly ❑ Annually assessed mobile home(/C 6.1.1.7) ^C"
I(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 0(3
a
W
th t
PROPERTY OWNED ELSEWHERE BY CLAIMANT O
State.County.and Township I alma• .. .ling eslead? 0
fi 5 - 4 hst _ Yes o G
r ,
Signature of claimant
I hereby certify the above statements are true,correct,and complete. e f
Are of co tact(number and street,city.state,and ZIP code) (dress of vacs' omestea if any(numbers met city,state,an.ZIP code) v
2A s L uk SA- 8_G-i}-.5 A 223 .s . ,..t ,S 0' ar ct
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD.VALUE NON-RESIDENTIAL 0
VALUE
1)
Land not exceeding one(1)acre immediately ( N ) 0
surrounding residential improvements J
Other land (2)
�t N a
Ntsfrl
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4) CC j 0
annually assessed mobile/ A 0_ 0
manufactured home Garage (5) "'r 9 Q
Other improvements (6) oG7
CO
Total improvements(line 4 through line 6) (7) U
Total value (line 3 plus line 7) (8) (��;^+1
I
hereby certify the above is true,correct, cLf
Signature of Assessor Date signed(month,day,year) \ V
and complete. \..\`
Verifying action-Signature of Auditor Date signed(month,day.year) ,
I1/ ,Al et' A Cti/ 5, /q..20 2 3 ' , . •
STANDARD DEDUCTION ALLOWANCE p v
20 pay 20 Lesser of 60%of the assessed valueothe homestead or$45,000. c. \J
Notwithstanding any other provision,the sum of the deductions provided in 1C 6-1.1-12 to a mobile home $ A0... ,
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 e of the mobile home or manufactured home.
Si nature Auditor val Datesigned(month,day,year)
it j
DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer ^r
Page 1 of 2