Homestead_Walker (4) ,, ,�� CLAIM FOR HOMESTEAD PROPERTY TAX YE
(, STANDARD/SUPPLEMENTAL DEDUCTION FORM
� � State Form 5473(R19/1-23) HC70
Prescribed by the Department of Locai 3overnmect F,nance
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) 1 ) 0/` I I �,r certify that I(we)occupied as my(our)principal place of
esidence or am(are)b ,i g the foil. i -de5�rib(J�^+(�.Lesr operty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
to s application is signed I Ill (date of signature) I(We)
Own ❑Am(are)buying under recorded contract
(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
O ve a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
O ikn(are)the shareholder,partner,or member of the entity that owns the property
If Buying on Contract,Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded .Ftecora"+.urcer ,'age
PROPERTY DESCRIPTION
County Township Taxing District(ci wn,township)
Su \^ , 2--(4 Jo1nrl;So 19
Parcel Num er Legal Descnption t property in question
Real Property 0 Annually Assessed Mobie Home(IC 6-1 1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surro nds at structure is used to produce income.describe the use and portion
of the property utilized to produce income
26 — 2_31,- 0 —0 c� . 4 1( -0 zL\
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State.County.and Township Is la• ant Vacating a Homestead''
1.1 Yes 0 No
Sig ur of Claimant
I hereby certify the above statements are true,correct,and complete ,,. i
Address of Contact number and street.city state.a.n,l Z,'41_rtil`e�; �1 Address of Vacated Homest-J - -•umber-••,street.city,sta and code)
us'3 S ,.,,..:" et �t ?J CAA '3 ' 53 r. (A) .. - �c 100 11- 1}U 1 •
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE ' NON-11FSIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential Improvement _-
i
Other Land (2) FILED
Total Land(line 1 plus line 2) (3)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile/
Manufactured Home Garage (Si DEC 1. 1 5 2023
Other Improvements (6)
Total Improvements(Line 4 through Line 6) (7)
Total Value(Line 3 plus Line 7) (8) �'I O N COUNTY
'jJ� �
Signature of Assessor I Date Signed(date month.year) AUD '71ITOR
I hereby certify the above is true,correct,and complete.
Venfying Action-Signature of Auditor 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 S
is riot assessed as real property or to a manufactured home that is not as ed as real property may not
exceed one-half(1/2)of the assessed value of the mobile home or ma (actu me ///
Signature of Auditor r�^ ,I.0
�` Date (mont.da eA)
ik
2_2
-,
DISTRIBUTION: Original-County Auditor.File-Stamped Copy-Taxpayer L.„
Page 1 of 2