Homestead_Abney (2) IRest f Fdtmn
7 , CLAIM FOR HOMESTEAD PROPERTY TAX y�R
STANDARD/'SUPPLEMENTAL DEDUCTION Hc10 2025�,C.
,.d State Form 5473(R19I 1-23)
ix' Prescribed by the Department of Local Government'Finance
INSTRUCTIONS:See reverse s►de for filing instructions.
NOTE:Telephone,Social Securily,driver's license,stale identi7)cation.and fedesel identification numbers we confidential under/C 649.1-1247.
CERTIFICATION STATEMENT
1( a)Abney.ReymcindMIBaino Fi'' . ' '-'•
% certify lhat I(we)occupied as my(our)principal place of
residence or am.(are)buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
data this application Is signed,240• (date of signature).I(We):
El Own. ' DAm(ate)buytrtg under recorded contract.
❑Am(are)entitled to occupy as a tenantstockholder of a cooperative housing corporation,
In 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 Ramified Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District(city,town,township) _
Gibson 009 Haub
Pared Number Legal Description ' Is the property In question:' -
1 ✓❑Reel property ❑AmeyAssessed Mobile Hare pC 61.1.7)
sr spy*sea of the residential situate of the tend not exceeding one(1)acre that iminediatary surrounds Mat structure is used to produce Income,describe the use and portion
tithe property utilized Ia produce Income, ..
26-18-36-401-000.630-009 •
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State.County,and Township .. Is Ctatmant Vacating a Homestead?
Yes ❑No
Slg+wtare of« "
I hereby certify the above statements are We,cooed,and complete. I of '--_ R,.
Address of Contact(number end street city,state,and ZIP code) Addre of Vacated Horne ad,If any(n. or end sheet city.state,and ZIP ) .
1003 Monica Ct,Haub,IN 47639 4009 Western Aye,Eville,IN 47720 _
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE I NON•RESI,'ENItr, VALUE
Land Not Exceeding One(1)Acre.Immediately (1)
Surrounding Residential Improvement _ .
Other Land (2)
•
Total Lend pine 1 plus line 2) ►. �`
Residential improvements or Dwelling (4) .... \A4\9) '1 LO
Annually Assessed Mobile/
Manufactured Home Garage (5) \' '
Other Improvements (6) A VA
ll' 10
C0�
PS
Total Improvements(Unix,.through Uno 6) (7) Lr'�(
Total Value(Une 3 plus Une 7) (a) Ci
'Signattre of Assessor (date,month,year)
I hereby certifythe.above Is true,correct,and complete. a
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$49,000.
Notwithstanding any o her provision,the sum of the dededions provided In ICa-1,1.12 toe mobile home that $
Is not assessed as real property or to a mendracfured home that Is net assessed ea real property may not
exceed anafialf(52),oline assessed value 01 the mottle home hyroa ractured home. -
Slgnetwe of Auditor �t r\ l C ] Date Si➢rl�d nit year)
W Gj 3 L/Jt
mSTMOLMoN:Original-County Auditor,FlwStamped Copy-Taxpayer'
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