HomeMy WebLinkAboutHomestead_Stuckey CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
STANDARD I SUPPLEMENTAL DEDUCTION
(,,,, i�/ State Form 5473(R19/1-23) HC1 O i__
-_ Prescribed by the Department of Local Government Finance INSTRUCTIONS:See reverse side for filing instructionsED
NOTE.Telephone,Social Security,dnver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37. e.
CERTIFICATION STATEMENT
I(We) 10I4.1- MIliT(_Mi C wild_`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 Ho r- ead Property Tax Standard Deduction is hereby claimed on ttt9 . q 5 2023
date this application is signed, (date of signature) I i We;l AU.a D
❑Own ❑Am(are)buying under recorded contract
❑Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation / - ,'
El Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust %Th .f(t,(,�/ v�/
❑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
PROPERTY DESCRIPTION
Coup' T• p. Taxing a ct(CI ,town.t.. )
P.rcel Number Legal Description `IIss-the
/Rroperty in question
:.1/rat (-Y� a�C•l,� t.0 l j Ly//pal Property ElAnnually Assessed Moble Home(IC 6-1 1-7)
If any portion of the residential structure or the land not exceeding one(1)a e that immediately surround 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 Homesteads
itzalles ElNo
igna e ofI hereby certify the above statements are true,correct,and complete ��'���������✓✓✓AAAiii��`
Addr- s of Contact(number and street,city.state,and ZIP code) r Address acate•Honlestea any;nuj.)r...A
nd�al o r sfaro aucl ZIP code)
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately t 1) '
•
Surrounding Residential Improvement _
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)
Total Improvements(Line 4 through Line 6) (7)
Total Value(Line 3 plus Line 7) (8)
Signature of Assessor Date Signed(date.month,year)
I hereby certify the above Is true,correct,and complete.
Venfying Action-Siggature of Auditor 1 Date Signed(date month.year)
STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser of 60%of the assessed value of the homestead or$48.000
Notwithstanding any other provision,the sum of the deductions provided in IC 6-1 1-12 to a mobile home that $
is not as ssed as real property or to a manufactured home that is not assessed as real property may not
hall(1/2)of the assess value of the m e ome or manufactured home — — — — -
Si atur c A i i I/ Date Sign t dea on ),------)r 1 "\k_, ....
DIST IBUTION. Original-County Auditor.File-Stamped Copy a p
erPti i\)
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