Homestead_Kuhlenschmidt .�
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR l
fix ' 2;q\ STANDARD/SUPPLEMENTAL DEDUCTION i
t �/ State Form 5473(R 19/1-23, HC70 a
�.IT/ Frescnbed by the Department of Local Government F,nar:•
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) 448%4 E. 0 h{PnsC - .le certify that I(we)occupied as my(our)principal place of
residence or am(are)buying the followm described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
datethi pplication is signed. ya�lRkt (date of signature) I(Wel
ini r. ❑Am(are)buying under recorded contract
0 Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
I0 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 Contract,Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County � � Township 02 � Taxing District(icitry�Ftown.township)
i'50 lNA\`Yw'n-1 Pm,1e(
Parcel Number Legal Description ;s the perty in estion
DC.—U-o- �� -co I,b I X_ Oa\ Real Property 0 Annually 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
of the property utilized to produce income
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State.County.and Township Is Claimant Vacatr g a H mestea
❑yes No
I hereby certify the above statements are true.correct,and complete -"
'.--
Address of Contact jnum.er and street.city -tat- and ZiP code) _ss of located Homestead if any(number and street city.state.and ZIP code)
ItiG• 5 Y„ ce t/ y1 1,
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE 1 NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential Improvement
Other Land (2) •
T T T T
Total Land(line 1 plus line 2) (3) F I L ,rL"J1 ,■�,/),
•
Residential Improvements or Dwelling (4)
Annually Assessed Mobile I
Manufactured Home Garage (5) — JAN
4 2 2024
Other Improvements (6) IV V
Total Improvements(Line 4 through Line 6) (7) Afirtt[(,C a PYr4
Total Value(Line3p/us Line 7) (6) _ ' GIBSON COUNTY AUDITOR
Signatu-e of Assessor 'Date Signed(date month.year
I hereby certify the above is true,correct,and complete.
Venfymg Action-Signature of Auditor mate Signed(date month.year!
STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser of 60%of the assessed value of the homestead or 648 000
Notwithstanding any other provision,the sum of the deductions provided in 1C 6-1 1-12 ro g a mobile Home that
is not assessed as real property or to a manufactured home that is not assessed as real property may rot
exceed one-half(1/2)of the assessed value of the mobile home or manufactured home
Signature of Auditore- �� _ / Date Signed 1(month.day year)
11.2 if
DISTRIBUTION: Original-County Auditor File-Stamped Copy-Taxpayer
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