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Homestead_Sharp (2)
e,':',.,• CLAIM FOR HOMESTEAD PROPERTY TAX YEAR a` 1,4. STANDARD I SUPPLEMENTAL DEDUCTION FORM v` State Form 5473(R19/1-23) HC10 Q2p pl� 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 •1 pi I�I/�/ I(We) • certify that I(we)occupied as my(our)principal place of residence or am(are)buying the fo(gwi descri d real roperty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, L/ , O at);-,4�' (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. Recorder's Office Where Contract is Recorded Record Number Page PROPERTY DESCRIPTION CountJn 6 cod Tow hipm_4 Taxinbstriciciry,tow6n,tvtowns6h,ip)� Oar Parcel Number Legal Description Is the property in question: iReat 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 surrounds that structure is used to produce Income,describe the-use and portion of the property utilized to produce income. cQ6—/0— 33-- 600 -- oOi. q'7-0 .,1 PROPERTY OWNED ELSEWHERE BY CLAIMANT State,CCo�u`'tyand T sh{�/,nr� /j /,�//� ,�j,,/��/� /�_ Is Claimant Vacating a Homestead? ! , ■ } �l'wl'-^'t./ ( .r v 16 yt-. 6 f�:.7/ 0 Yes .tJo nature Claim nt I hereby certify the above statements are true,correct,and complete. • Address of Contact(numb,rand street, t stat and ZIP code) Address of Vacated Homestead,if any(num r and street,city,state,and ZIP code) d i f 6'/ ci f (4)&WG v/1L 11 ASSESSOR USE ONLY I 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) 1:;) Residential Improvements or Dwelling (4) - Annually Assessed Mobile/ �` R 3 j� Manufactured Homel Garage (8) . tl 2025 Other Improvements (6) ` Total Improvements(Line 4 through Line 6) (7) G/E/SON C© �, Total Value(line 3 plus Line 7) (8) N' r 14(j(- Signature of Assessor Date Signed(data! 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 manufactured home that is not assessed as real property may not excee one-half(1I2)of the assess alone of t - obit=home or manufactured home. Signet re Auditor `..fT A' . f/4"'J h Dale Sigq�d or yLye r)�`l j7G .. .. DISTRIBUTION:Original—County Audit ,File-Stamped Copy—Taxplye / t /(J/ ' �'f,4//) �;L,/ Page 1 of 2