Mobile Home_Hunt at�"�� CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
,1t t
mi STANDARD I SUPPLEMENTAL DEDUCTION HC10
at"
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
Y
I(We) t A certify that I(we)occupied as my(our)principal place of
residence or am(are)buyln the ollgw g,ti r ar erty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application is signed, G( U fJ (date of signature).I(We):
ILTOwn. ❑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 Owners Name
Recorder's Office Where Contract is Recorded L r Record Number Page
( PROPERTY DESCRIPTION
Coun + Towk
�D � Taxing D//'aMetfcityitpwn,swnshi
Parcel Number le.. ■escriplion la the property in question:
❑Real Property %nnually 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 Vac ling a Homestead?
❑Yes No
natu a of,I ama I 11
I hereby certify the above statements are true,correct,and complete.
Addressof Contact(numberand street city,stale,and ode
of V. . d Ho I•u..' any(number and street,city,state,and ZIP code)
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE ,
Land Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential Improvement
■
Other Land (2) v
Total Land(line 7 plus line 2) (3)
NOV 0:s
Residential Improvements or Dwelling (4)
2024
Annually Assessed Mobile I
Manufactured Home Garage (5) •
//
Other Improvements (6) ,/ /L,LG?.Z1 '"•a^"
GIBSON COUNTY,AUDITOR
Total Improvements(Line 4 through Line 6) (7)
Total Value(Line 3 plus Line 7) (8)
Signature of Assessor Date Signed(date,month,year)
I hereby certify the above Is true,correct,and complete.
Verifying 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
is not assessed as real property or to a manufactured home that is not assessed as real property may not
exceed on -half(1/2)of the assessed vat f the mobile home manufactured home.
Signaler u ito
(1))/at r Dale Sigge (bonny, ar !
/ a
DISTRIBUTION: Original—County Auditor,File-Stamped Copy—Taxpayer
Page 1 of 2