Homestead_Lary ► . ,, 1Reset Forma
'-_' CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD/SUPPLEMENTAL DEDUCTION
,) Stale Fonn 5473(R20112-24)
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-I.1-12-37.
CERTIFICATIC
1(We) Nicole&Kolbv Lary - certify that I(we)occupied as my(our)principal place of
residence or am(are)buying the followi described real property under contract forwhich a Homestead Property Tax Standard Deduction Is hereby claimed on the
date this application Is signed, 7 Ji`"'�`2_6 (date of signature).I(We)
I!'.!Own. J-D�Am(are)buying underrecordedcontract.
D Am(are)entnled to occupy as a tenant-stockholder of a cooperative housing corporation.
D Have a beneficial interest in the trust or the right-to occupy the property under the terms of a qualified personal residence trust
D Am(are)the shareholder,partner,or member of the entity that owns the property.
If Buying on Contract,Fee Simple OwneeeName -
Recorder's.Oifice Where Contract la Recorded" • Record Number Page
PROPERTY DESCRIPTION �w( (}
Cawry Township Tsdrg District(city,t Vcrrsh) -
•
Gibson - - : Francisco `ti J}
Parcel Number,, ,, : Legal Description 'Is the property In question.
26-13 19-201-000sba oas PERKINS' ADD 7PT/8PT li�I final Pmcert D AnnualyAssessedMobile Home(IC61.1-71
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:.
is
PROPERTY OWNED ELSEWHERE BY CLAIMANT 17 )
State,County,end Township •; " Is Claimant�..,/ Vacating a Homestead?
Indiana, Gibson, Frar`icisco ,.., Yas UV!No
Signature raiment Ire .,,,,,,.r
itI hereby certify the above statement's are true,correct,and complete. /, ."'
Address of Contact(number and street,city,state,and ZIP coda) Addres of Vacated Homestead,if any mber end street.c' ,at'e,anddIP code)
705 W School Street;Francisco, IN 47649 5£. O _ -_ 1,0 5 u3.
° ED VALUE I HOMESTEAD VALUE 1 NON-RESIDENTIAL VALUE s few
Land Not Exceeding One(1)Acreimmedlately (1) 1
Surrounding Reslidintiall Improvement •
Other Land •`.- •-. ,; ,. - (2) 1111 ,
Totaliand.(11nel-plus'1/net) i:•' (3)
. LE()
Residential improvements or- ' Dwelling (4)
Annually'Assessed Mobile's
Manufactured Home - ' - ' Garage (5) - FEB-Other improvements , _ L• (6) D 2 D 202 o Total Improvements(Line 4-throughLine 6) (7) . • f
q 4 w
Total value(Line 3 plus,Line 7) (8) /���pji�_;47 � jam(\\(� rrr\111`J�/I
' Signature of Assessor �ltOSOsY n ateto rte. ar) V
I hereby certify"the above Is tree,correct,and complete, - VN��Y/�T Q
VenfyingAt/
Action-Signature ofAuddor + Dale Signed(date,mon -vegan i`A
RF..
Q'NDARD DEDUCTION ALLOW IIIMIIIIIIIIII (��/I
20_ Pay 20 .. .. , • Lesser of 60%of the assessed value of the homestead or$48,000. `—
Notwithstanding any other provision'fhe'sum of the deductions provided in IC 6-1.1-12 to a mobile home that $
Is not assessed as real properly or to a manufactured home that Is not assessed as real property may not
exceed one-haf(112)of the assessed value of the mobile home or manufactured home. ,*---?
Signature of Auditor , - Date Signed(month,day,yeer)
DISTRIIBUTION:-Original-,CountyAuditor,Flie-,Su,tamAepedd--Copy-Taxppaayer .
01,-) . .Y' TI. 1 (1,: 4A 0 d e ofS ` Lj � ^b�"�
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