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Homestead_Schenks (2) Reset'•Fomi w ° CLAIM FOR HOMESTEAD PROPERTY TAX YEAR qil°'4 ! STANDARD/SUPPLEMENTAL DEDUCTION FORM •• State Form 5473(R20/12-24) a4.--' - 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. � �A�lmiy CERTIFICATION STATEMENT . i�— I(We) EL �L�_�./!1' [Ft Z2 — c lur'�� e)occupied as my(our)principal place of residence or am(are)buying the Ito/in p(s -•, eat o. 1'Under co ct for which a Homestead Properly Tax Standard Deduction is hereby claimed on the date his application Is signed, t b (date of signature).I(We): Own. 0 Am(are)buying under recorded contract. 0 Am(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. 0 Am(are)the shareholder,partner,or member of the entity that owns the property. If Buying on Contract,Fee Simple Owner's Name Recorder's Office Where Contract is Recorded Record Number Page PROPERTY DESCRIPTION Co Q /{ To� . j Taxing District(city,toowwjn,,township) 11 (9/fl I-I-1 4 111 &17-6/ Parcel Number L- uescription Is the property In question: Real 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. . 026 - i 4- /8 --. / `3 -‘900 , 7 1 5-6 --DO 7 ........ PROPERTY OWNED ELSEWHERE BY CLAIMANT ' S ,le, n and Tp ^sh ,n• 1 _ G1//�� Jp Is Claimant Vacating a Homestead? r�•�• �r { V! !/ /,':.J�7J - AYes ❑No eCe Signature of Claimant n n / f I hereby certify the above statements are true,correct,and complete.�e. `C � �C"� -, LU�Ie��'1 n!/n. Addre o o tact fin b, :,d street,city,state,a •,IP cod: �/+-1 / © Address of Vacatedc Homestead, y(number an treat,a fete, i.ZIP rp.e)��// ] Cou 'a T ilriL • SC, ./%a -! E tA-. 'I 7Z(1/ ,t n ASSESSOR USE ONLY j ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL VALUE -7 �(/ Land Not Exceeding One(1)Acre Immediately (1) i i Surrounding Residential Improvement Other Land (2) ('ti Total Land(line 1 plus line 2) (3) TT 0 . Residential Improvements or Dwelling ' (4) •IL Annually Assessed Mobile I �■T/■ • ^ Manufactured Home Garage (5) 1 Other Improvements (6) JUL 2 4 7 / Total Improvements(Line 4 through Line 6) (7) �r+LJ re.) Total Value(Line 3 plus Line 7) (8) .2�-""'{Gn Signature of Assessor t ate m nth,ye r 0 I hereby certify the above Is true,correct,and complete. G1SS0N CO ►i Verifying Action-Signature of Auditor Date Signed d fer ,(l Lin 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 manufact' d home that is not assessed as real property may not ' • exceed one-half(1/2)of the asse sad value of a mohe home ormenuracfured home. Signet a ASditor ' Dar Si ed N/ytari)g.s.... DISTRIBUTION: Original-County Auditor,Fite-Stamped Copy-Taxplye Page 1 of 3 ResetForn; . -1,7R CLAIM FOR HOMESTEAD PROPERTY TAX 4 '1.1 STANDARD I SUPPLEMENTAL DEDUCTION FORM YEARr '., 1;+.., State Form 5473(R20!12-24) NCH tb tot - Prescribed by the Department of Local Govemment 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. �/]�� ������ �CjERRTTIFICAT►IOONN STATEMENT I(We) gLL:L�t�J. �/( T[4'-�1 t_4_�►1 l'!' e)occupied as my(our)principal place of residence or am(are)buying the fOolin c;qs.'.:frail pLogPst under co act for which a Homestead Property Tax Standard Deduction is hereby claimed on the date his application Is signed, (J�/! r7( ct(t)At fp (date of signature).I(We): Own. ❑Am(are)buying under recorded contract. 0 Am(am)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. 0 Have.a beneficial interest in the bust or the right to occupy the property under the terms of a qualified personal residence trust. 0 Am(are)the shareholder,partner,or member of the entity that owns the property. CONTRACT RECORDED If Buying on Contract Fee Simple Owner's Name Recorder's Office Where Contract Is Recorded Record Number Page PROPERTY DESCRIPTION Co /1SD'A`JI 1 To f���((„((�� � Taxing District(city,town,(ownshi/17 0 f�y Parcel Number Legal Description (`is theT In question: Real Property 0 Annually Assessed Mobee Horne(IC 6-1.1-7) If any potion 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 Is produce Income. . 0?& /4.-- /St '—' /O. "—.‘9°° f I/5-6 —00 7 PROPERTY OWNED ELSEWHERE BY CLAIMANT �S le, ny nd T sh /�•t ! /�//J/ Jf Is Claimant Vacating a Homestead? � V/ ' 1/' f I' // / - XYes ❑Na / Signature of Claimant I hereby certify the above statements are true,correct,and complete. (4T i N'�EC r Addre o ?tact((n .street,city,state,a •. P cods //!/ Ad�drresss of V Vacated Homestead,' y(number an treat, ate,: ZIP cpde) /t ) ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL VALUE `T(��� Land Not Exceeding One(1)Acre immediately (1) 1 Surrounding Residential Improvement , 4 Other Land (2) Total Land(line 1 plus line 2) (3) Residential Improvements or Dwelling (4) ' P � _ Annually Assessed Mobile I _ Manufactured Home Garage (5) Other Improvements (6) JUL ^ ry[ 1111 Total Improvements(Line 4 through Line 6) (7) J L 20LJ r Total Value(Line 3 plus Line 7) (8) Signature of Assessor I n ate m�,ntth,y`e•r I hereby certify the above Is true,correct,and complete. G)B80N CO 1 A Q' ii:4i Verifying Action—Signature of Auditor Date Signed d fervi(�,��x1R STANDARD DEDUCTION ALLOWANCE ,�V 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 fo a mobile home that $ is not assessed as real properly or to a manufact ed home that is not assessed as real property may not exceed one-half(1/2)of the else ed value of I e mob.'home or manufactured home. Signet a AShclor r ' ' / OatgSigpedfh, a,yr,er � DISTRIBUTION: Original—County Auditor,File-Stamped Copy—Taxplye/ , Page 1 of 3