Homestead_Dunlap - 'a CLAIM FOR HOMESTEAD PROPERTY TAX
} YEAR
-;
l' STANDARD I SUPPLEMENTAL DEDUCTION FORM I -�
,� ;� State Form 5473,R19 i 1-23j HC10 � Y
•
-'!'•/ F-escnted❑y the Ceparre-t of L__a Go.e-rert. e .c
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' I404-1L ph,/Ta4G 7' n� __cer•,fry Ina:I r..e''occup'ed as my'our(pnnapa,place of
-17 P--- ,nI-,ere�
j resderce or a^;are.buy rig:`.e •ry•desCrtec'_^ c -- -;er c r a a _ _s:ea7 P-cPer•.y Ta,S:amdara Ced c^..s __y C:aimed Or t''e
dc;pappi,caticr-s s gned 3/7/.24 ::ate
st_gn__
0Am are,er.:(t';ed to occupy as a tenent-s:_c-.'c ce .. ____ _ c_s'7 u____'a•._
❑Ha.e a 0e'efe:a,.r.terest in the trust cr tre-got to c€s _ _:._:._ _ a._ _ . _.-- .=s .. -es-de^ce thast
0Am(are;the shareholder partner or member of the e-t'.:'A'c:. r.. e prcpe^y
CLAIMANT'S INFORMATION
'f Buying or Contract Fee Simple Owners Name
Recorders Off ce)/V1'e-e Contracts Recorded .--_ Re ,-r ' ❑a-e
l
PROPERTY DESCRIPTION
County • Township 0 �� - - . ,.. .- ..
a b son ii(r tnce.vr�
.3-ce•wmoer Le3ai Desorp•or, y m o.iest
• a -(1-fa- o = . oso -04)8
I pe^y ❑Arm:.a:y Assessed ticcde-re
.'ail co^c^of the res'de^ta s:noise Or the'a-d rot a zeed rg ore'1 acre:-d• _c I's.s. _ .,,-at st Adore 5..sed to ca„-e,ncome describe the sae did port_r
of the prc._rrty.t zed tc prcd,._e-r_^me
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County and Ton-= r ,-,/
I hereby certify the above statements are true correct and compete r. 4�y,rN
— —-__Lk...U1 \--L
=o7'ss;_' -.•2_I r ,ri,r 3..7;..gip• c , r• e '"i'_ -3. .. s'eri 'a-I ..mcer and sheet C.y stare a Z- .-
IOIW W Iikk ►1611"1/4. - I.. '
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately `(1) I
Surrounding Residential Improvement
Other Land .2
Total Land(line/plus line 2) 13, FILED
.
Residential Improvements or 1 Dwelling i4;
Annually Assessed Mobile l
Manufactured Home ' Garage ';S;
-- �— VAR 7 2024
Other Improvements I(6)
Total Improvements(Line 4 through Line 6) !7,
Total Value(Line 3 plus Line 7) (8. Y i &' 4)
s 3ratsra c•Assess --— -- - --- --- �a'e s,o,,, , G SSO COUNTY AUDITOR
N
I hereby certify the above is true.correct,and complete
sier:Fy+rg Action-S-g^a•ure or Aud-tc' --- Care S.gred c._ ,-_
STANDARD DEDUCTION ALLOWANCE
2° Pay 20 Lesser of 5 C'_of the assesseC.i -_ _ _
Not.::!nstanding any otner cro•ns,cn 'he sum cf tie deducccrs pros:tad r,;;5-, 1-'2'_a Tcc -
is not assessed as real property or to a ma^ufactured home(hat s not assessed as'ea:proce-y -c,
e•ceed one-hail L"2)of the assessed,a-se of the mcc.'e home or manufactured nonce
i sign____ etq_pd,to. ---- — ---- - _ate 5,y.3 :as-s1 -- -
DISTRIBUTION- Cr gnat-County A„oac- =neStamcec:oni--a.cayer
Page 1 of 2