Loading...
Homestead_Caliendo tww, CLAIM FOR HOMESTEAD PROPERTY TAX �c YEAR clk , STANDARD t SUPPLEMENTAL DEDUCTION FORM State Form 5473(R1811-20) HC1 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-f,1-12-37. CERTIFICATION STATEMENT I(We) !J i d otc5 5/ Rebecca.ik GNU fruft3. 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�du is hereby claimed on the date this application is signed, (0/ i/'3 • (date of signature) I(We): I Own. 0 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. ❑ Recorder's office where contract is recorded Record number 'Page PROPERTY DESCRIPTION County A • 55 I Township Taxing district(city town,township) \P Son c bi Lifla YI,() .. — Parcel number ,At, {{��(�� Legal destination '( I Is the property in question a/_ VS.: /r,,,., I Vl!... Do I 14 —00� i �J Real property [�,f Annually assessed mobile home(IC 6-I 1-7) If any ponies 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 Stale.county and Township Is claimant vacating a homestead? /J� /, ❑ Yes ❑ No i� I hereby certify the above statements are true,correct,and complete. 'u f......... !� nd � h r\ � —✓ Address of contact(number and street,city state and ZIP code) Address of vacated homestead,if any(number street,city state,and ZIP cede)I ,tri 3\ = 0JNrs1/4 P . 3't70 i 14•, • t - 1. a r tD© ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE NON-RESIDENTIAL VALUE' Land not exceeding one(1)acre immediately (1) : surrounding residential improvements Other land (2) Total land(line 1 plus line 2) I(3) 1 i1:' TIi[—' iResidential improvements or Dwelling (4) I annually assessed mobile I manufactured home Garage I(5) , Other improvements I(6) JUN 2 7 2023 Total improvements(line.4 through line 6) 1(7) I Total value (line 3 pits fine 7) I(8) I Viy' e a I hereby certify the above is true,correct, Signature of Assessor GIBSON COUNTY Al t'gii(month,day year) 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) °GJ , 1/ old 7/36 DISTRIBUTION:Original-County Auditor.Fite-Stamped Copy-Taxpayer Page 1 of 2