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Homestead_Kruse (2)
et, a CLAIM FOR HOMESTEAD PROPERTY TAX '+. 1 STANDARD/SUPPLEMENTAL DEDUCTION FORM YEAR.I .• State Form 5473(R1911-23) HC10 ��'/ '�'• 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 7 /\ i 1/ �/u" 1r s I(We) certify that I(we)occupied as my(our)principal place of residence or am(are)buying the fgl)o}Ji cr)pgd �f property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, f/I/ �r,[r�) rf' (date of signature).I(We): Own. ❑Am(are)buying under recorded contract. ❑Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation, ❑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-h Ty � Townshi/ I Taxing-- --.. Parcel Number Legal Description Is Ir-.mperty in question: Real Property ❑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 su unds structure is used to produce income,describe the use and portion of the property utilized to produce income. 6 c2o -a©-- t o-- z)©0T, 31 -(2o / PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County,and Township Is Claimant Vacating a Homestead? ASl Yes El No Signature of Claimant /� ' l I hereby certify the above statements are true,correct,and complete. t artt; K � Address of Contact(num er and sheet,city,slate,and ZIP code) Address of VacalV eslead,if any(number and street,city,�e,and ZleFcol7e) :7 ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE NON-RESIDENTIAL VALUE Land Not Exceeding One(1)Acre Immediately (1) Surrounding Residential Improvement Other Land (2) Total Land(line 1 plus line 2) (3) , Residential Improvements or Dwelling a p O E., Annually Assessed Mobile/ Manufactured Home Garage (5) NO Other Improvements (6) r a ®� 2°24 , Total Improvements(Line 4 through Line 6) (7) (r� 1 Total Value(Line 3 plus Line 7) (8) G)BON C COP' " / Signature of Assessor Date Signed(date,month.y d4L/-eo/�;."CJ' I hereby certify the above is true,correct,and complete. OR Verifying Action—Signature of Auditor 'Oate Signed(date,month.year) STANDARD DEDUCTION ALLOWANCE 20 Pay 20 Lesser of 60%of the assessed value of the homestead or S48,000. Notwithstanding any other provision,the sum of the deductions provided in/C 6-1.1-12 to a mobile home that $ is not assessed as real property or to anufactured home that is not ssessed as real property may not excee one-hall(1/2)of the assess d aloe of fh mobile home or ma lectured home. }' Sign r of Auer flo /t r Dater nnnt ont ay y r� i/ f�(j/J G/!// (�j/S p�(T/ DISTRIBUTION: Original—County Auditor,File-Stamped Copy—Taxp er Page 1 of 2