Homestead_Kramer (4) ` "''� CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
FORM
ZJ—
�J
STANDARD/SUPPLEMENTAL DEDUCTION HC10
*� State Form 5473(R19/1-23)
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) ' tJ h - 4)N') f 4viv i • - _ certify that I(we)occupied as my(our)principal place of
residence or am(are)bu 9 the followin de ribed real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application is signed, - (date of signature) I(We)
n ❑Am(are)buying under recorded contract
❑A (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
0 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
CLAIMANT'S INFORMATION
CONTRACT RECORDED
If Buying on Contract,Fee Simple Owner's Name
Recorder's Office VMere Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County e 1 n Township - \ Taxing Distnct(city.town township)
✓\) Y ` 11\ A I n 1%
Parcel Number Legal Description I e property in question
Real Property 0 Annually Assessed Mobile Home(IC 6-1 1-7)
It any portion of the residential structure or the land not exceeding one(1)acre that immediately s ound that structure is used to produce income,describe the use and portion
of the property utilized to produce income
Z
6' , 0
S'— S -S-1 ;1LkI — 000 . SzC —b1g
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is Clai nt Vacating a Homestead'
Yes ❑No Eif- 41
Sign/yyIre o laimazt /
0
I hereby certify the above statements are true,correct,and complete I � f
Address of Contact(number and street.city.state and ZIP co.- tldress of Vacated Horilestead if.- i her and sire kit to e.and ZIP cg(
ASSESSOR USE Oh LY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE 13.
Land Not Exceeding One(1)Acre Immediately (1) I
Surrounding Residential Improvement
Other Land (2) Cr
Total Land(line 1 plus line 2) (3) 1
Residential Improvements or Dwelling (4)
Annually Assessed Mobile I E
Manufactured Home Garage (5) `
-17
Other Improvements (6) (:)(f�
'�
Total Improvements(Line 4 through Line 6) (7) NOV
08
2023 ��f VV
Total Value(Line 3 plus Line 7) (8) Y
Signature of Assess Date Signed(date.month,year)
I hereby certify the above Is true,correct,and complete. V
Verifying Action-Signature of Auditor GIBSON COUNTY AUDITOR Date Signed(date month.year) V\
(�{`J \
STANDARD DEDUCTION ALLOWANCE �+ 1./1
20 Pay 20 Lesser of 60%of the assessed value of the homestead or$48,000 v
Notwithstanding any other provision.the sum of the deductions provide 6 2 to a mobile homeriot that $ I
1 .
is not assessed as real property or to a manufactured home that is n ss as r I may
exceed one-half(la) the assesse�value the mobile home or ulac re Irom O
Signature of Auditor Date i rind ye 1
1?
DISTRIBUTION: Original-County Auditor.File-Stamped Copy-Taxpayer
Page 1 of 2