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Homestead_Spindler (33)
Reset`Form; Z eF`" � CLAIM FOR HOMESTEAD PROPERTY TAX 1:•; ) STANDARD I SUPPLEMENTAL DEDUCTION FORM 1,,, „'-,...;.' State Form 6473(R20112.24)• HC70 �1M" 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 I(We) t'rC \4 y d tf'f&(\-Q �'t rt as l er• certify that I(we)occupied as my(our)principal place of residence or am(are)buying i ,following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, , • 17-. (date of signature).I(We): L'TetOwn. 0 Arn(are)buying under recorded contract. 0 Arn(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. 0 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, Simple Owners Name . �© Recorder's Office Where Contract Is Recorded Record N Page? �� Gv%Yiza • _ fr)1XL. PROPERTY DESCRIPTION County Township Taxing District w township) - r �. C ►bin. � h \ 1 qV© Parce Number Legal Description Is L.operty In question: tbo'real Property 0 Annually Assessed Mobile Horne(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 properly utilized to produce Income. PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County,and Township Is Claimant ling a Homestead? 'gores ❑No Sign re of Claimant ^ �',�,,�'/✓ I hereby certify the above statements are true,correct,and complete. � 02 ) Address of Contact number arid street,city,stale,and ZIP cod, Add ass of Vacated Ho estead,if an numb a street,ci state,en P coda • ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL VALUE r Land Not Exceeding One(1)Acre Immediately Surrounding Residential Improvement (�) Other Land (2) ..,: Total Land(line 1 plus line 2) (3) Residential Improvements or Dwelling (4) Annually Assessed Mobile) Manufactured Home Garage (5) ;.r Other Improvements (6) 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(dale,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 fo a manufactured home that Is not assessed as real property may not exceed one-half(1/2)of the assessed value of the mobile home or manufactured home, Signor Auditor 04- a_ . ,-Deoclit-st-r*--1D). Date Signed(mon ,,e,ye�) - DISTRIBUTION: Original-County Auditor,File-Stamped Copy-Taxpayer Page 1 of 3 N'illiLl..D• .