Homestead_Kramer (8) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
All STANDARD/SUPPLEMENTAL DEDUCTION FORM
Afr."I State Form 5473(R18/1-20) HC10 cg 3
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) Kett,5\t.) ( eel Srokv%e r- 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, 4/ /0/49-2, (date of signature). I(We):
C;•'6-wn. 0 Am(are)buying under recorded contract.
D 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.
0 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 Township Taxing district(city.town,township)
A
Parcel number Legal description Is the property in question:
-k`k-07-3e;D-00-D•• &T-() C mire.,property 0 Annually assessed mobile borne(IC 64 I-7)
If any portion of the residential structure or the land at 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 vacating a homestead?
' r=1 Yes 0 No
Ztke
I hereby certify the above statements are true,correct,and complete.
Address of contact(number and street,city.state,and ZIP code) Ade4liva ed homeste d,if any number and street,city,state,and ZIP code) .
Lo 6005 v‘at.,14.1 4-) 4 its
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding one ,(1)acre Immediately
improvements
surrounding residential (1) '
Other land (2)
LED
Total land(line 1 plus line 2) (3) F/
Residential improvements or Dwelling (4)
annually assessed mobile I
manufactured home Garage (6)
'APR-1 2'2023
Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 phs line 7) (8)
of A Signature ssessor
I hereby certify the above is true,correct, wmokimgatarey,,,AuctrroR
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 of the mobile home or manufactured home. •
Signature of Auditor Date signed(month,day year)
11/%4I, ti/r
DISTRIBUTION:Original-County Auditor,Fite-Stamped Copy-Taxpayer
Page 1 of 2