Mobile Home_Lanier CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
' i FORM STANDARD/SUPPLEMENTAL DEDUCTION �^
s; 1. State Form 5473(R1811-20) HC10 /'�J2 I
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, a
// CERTIFICATION STATEMENT
I(We) W /� �I • - _ certify that I(we)occupied as my(our •r'. 14'
place of residence or am(j) •uying the following described real property under contract for which a Homestead Property Tax St- d-rd22 00 h
Deduction is hereby clai on the date this application is signed, (date of signature). I,Q(Ve): 0S810
Own. 0 Am(are)buying under recorded contract. 0?
❑ Am(are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation. „1/2,,
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified • r: --nce trust. s'Y
0 Am(are)the shareholder, partner, or member of the entity that owns the property.
•
CONTRACT RECORDED
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
pi:4
PROPERTY DESCRIPTION -4,41)
Co Township Taxing;OF ay,town,township) 4 Q
iff
Par- number Legal desc9%ytion s the property in question 4es ?,
/9r, A ❑Real property Annually assessed mobiR�l rto )
If any portion of the residential structure or the landnot exce ing one( acre thiately surrounds that structure is used to income,describe the use an .)
of the property utilized to produce income. 4''II
cG . �f- 04";;73-Ue R
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Signature of claimant •
I hereby certify the above statements are true,correct,and complete. )/ ` , ^ ,�`X �C\J�..- it -)
Address of contact(number and street,city,state,and ZIP code) rt Address`dd` of vacated homest4�p,if (number and street,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) `:,
Total land(line 1 plus line 2) (3)
Residential improvements or Dwelling (4)
annually assessed mobile/ -
manufactured home Garage (5)
Other improvements (6) 111111111111111.
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor Date signed(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 deduct() provided in IC 6-1.1-12 to a mobile home $
that is not assessed as real property or to a manufactured h e that is not assessed as real property may
not exceed one-half(1/2)of the assessed value of the mg a home or manufactured home.
ignature o ditor/� : n� /� Date signed(month,day,year)
DISTRIBUTIO . Originall-`Coountty AAuuudid_iittoyr//File-Stamped Copy-Taxpayer JJr 071
Page 1 of 2 /
1. /'ict/;<-'.9"‘ MANUFACTURED (MOBILE) HOME PERMIT
Prescribed by
oniaiNAL
p,.r t i� State Form 7878the(R8Depa i 11-17)rt� ment of Local Government Finance
'_-ti.
mobile home permit:
❑Section A- For Moving Section B-Transferring Title (NOTE: Separate permits required if owner intends to both move ano ra'.sf
INSTRUCTIONS:
1. A mobile home may not be moved from one location to another unless the owner obtains a permit to move the mobile home from the county treasurer.
2. The Bureau of Motor Vehicles may not transfer the title to a mobile home or change names in any manner on the title to a mobile home unless the owner obtains a
permit to transfer the title from the county treasurer.(IC 6-1.1-7-10)
3. A county treasurer shall issue a permit which is required to either move,or transfer the title to a mobile home if the taxes,special assessments,interest,penalties.
judgments,and costs that are due and payable on the mobile home have been paid. The permit shall state the date it is issued. The treasurer must issue the
permit not later than two(2)business days(excluding weekends and holidays)after the date the treasurer receives a completed permit application. (IC 6-1.1-7-10)
4. A mobile home owner who sells the mobile home to another shall provide the purchaser with the permit required before the sale is consummated. This obligation
does not apply to a mobile home offered for sale at an auction under IC 9-22-1.5 or iC 9-22-1.7. (IC 6-1.1-7-10.4) A person who violates this commits a Class C
infraction. (IC 6-1.1-7-14)
5. A mobile home owner must present a copy of this permit to the Bureau of Motor Vehicles when applying for title transfer. If the mobile home is to be moved.a
separate permit must be requested prior to moving.
6. A Form 1(Notice of Placing of Mobile Home Upon Land or Lot)must be filed with the assessor within thirty(30)days after the date of placement of the mobile
home(IC 6-1.1-7-3)
7. The requirement to obtain a permit to move or transfer title to a mobile home does not apply to a mobile home that is offered for sale at auction under
IC 9-22-1.5, IC 9-22-1.7,or IC 6-1.1-23.5 for the transfer resulting from the auction. (iC 6-1.1-7-10(a))
8. Documentation provided by person requesting this permit(IC 6-1.1-7-10(d)) - State Issued Title 7 Court Order [_ BMVAff,•davit of Sale or D,stion:a•
NOTE: A permit to move or transfer title to a mobile home expires ninety(90)days after the date the county treasurer issues it.When the permit
expires, it becomes invalid and the owner must obtain a new permit.
ATTENTION: MOVER,HAULER,OR TOWER
A person who is engaged to move a mobile home may not provide that service unless the owner presents him with a permit to move the mobile home and
the permit is dated not more than ninety(90)days before the date of the proposed move.The mover shall visibly display the permit while the mobile home
is in transit.The mover must return the permit to the owner of the mobile home when the move is completed. IC 6-1.1-7-11
Name of owner's agent,if there is an agent acting on the owner's behalf 'Agent's telephone number
( )
�,,,,,,,,, SECTION A-MOVING PERMIT
�
17 e�` •o 75U R en..,,. \. Date of issuance of permit(month,day.year)
`y ,fr 0
Addre=3 f ourptier and street ety.statw and ZIP code) Date permit expires(ninety(91)dais after issuance)
Mall tvib.bSE Dimension Veh cle idert,ficat,or numba-
A.LZ Y
Addre iiiirk,ent location(rug.*8nd street,city.state,and ZIP code) Affected parcel number
�/4,C- .... '•�' �:
Address of n2N,Ip trritnl qib+ r and street,city,state,and ZIP code) Contact telephone number