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Mobile Home_Morrow (2) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR '. STANDARD/SUPPLEMENTAL DEDUCTION FORM . State Form 5473(R17/1-16) HC10 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) INN\ �_I 11.( certify that I(we)occupied as my(our)principal place of residence or am(are)buying the following described real property under conpuct for which a Homestead Property Tax Standard Deduction/ is hereby daimed on the date this application is signed, —1- I ( (date of signature). I(We): �bwn. ❑ 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. If buying on contra Fee Simple owner's name tr4\-�\ ?0/9 Recorder's office where contract is recorded Record number Page ��tr��_ Gig • , 4" , S°N .�ValE I PROPERTY DESCRIPTION CaTo hip Taxing district(city,ttown,township) .a/TOR Parcel number Legal description Is the property in question: -••' ❑Real property ErAnnually assessed mobile home(IC 6-1.1-7) If 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 q of the property utilized to produce income. Q S 1 0 - 0 C-9\LO ---LI Dci'_ - -- , PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County,and Township Is claimant vacating a homestead? 0 Yes /No Signature � { I hereby certify the above statements are true,correct and complete. vv Address of contact(number and street city,state,and ZIPcode) Address of vacated homestead,if any(number and screed,city,state,and ZIP code) 9 I4),S c-i4 wtG ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE • NON-RESIDENTIA' • • VALUE Land not exceeding one(1)acre immediately (1) surrounding residential improvements t Other land (2) / -0-\.). ()./ Total land(line 1 plus line 2) (3) L\j 4�0' Residential improvements or Dwelling (4) 1 annually assessed mobile/ ` \ manufactured home Garage (5) , X., Other improvements (6) �� o0��OR Total improvements(line 4 through line 6) (7) OWN Total value(line 3 plus fine 7) (8) SON G I hereby certify the above is true,correct, Signature of Assessor Date stjlmonth,day,year) /r' / and complete. Verifying action-Signature of Auditor Date signed(month,day,yeah 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 properly may not exceed one-half(1/2)of the assess value of the mobile home or manufactured home. Sig of Auditor Date signed(month,day,year) .' _X_N&J .1-- • 'I-I-1 9 DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer .747 Page)of 2 e i\ MANUFACTURED (MOBILE) HOME PERMIT stag, State Form 7878(R8/11-17) ' * Prescribed by the Department of Local Government Finance 'pe of mobile home permit: ]Section A-For Moving ection B-Transferring Title (NOTE: Separate permits required if owner intends to both move and transfer title.) 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.(lC 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 ❑ Court Order ❑ BMVAfidavit of Sale or Disposal 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 l SECTION A-MOVING PERMIT ' ame of owner Date of issuance of permit(month,day,year) Address(number and street,city,state,and ZIP code) Date permit expires(ninety(90)days after issuance) Make of mobile home Year Dimension Vehicle identification number Address of present location(number and street,city,state,and ZIP code) Affected parcel number Address of new location(number and street,city,state,and ZIP code) Contact telephone number