Homestead_Morgan Reset Form!
7" ' CLAIM FOR HOMESTEAD PROPERTY TAX
FORM YEAR __
_ it •- . : STANDARD I SUPPLEMENTAL DEDUCTION �2)
. / State Form 5473(R20 112-24, HC10
------" Prescribed by the Department of Loca;Government-inance
INSTRUCTIONS See reverse side for filing instructions
NOTE Telephone. Social Security. driver's license, state identification and federal,dentihcation numbers are confidential andFiii1...11
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CERTIFICATION STATEMENT
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I (VNe) . 4 v-- certify that I (we)occupied as my(our ring al p�e s
residence or am (are) buying the tp(low`ng de r betrea4roperty uncle contract for which a Homestead Property Tax Standard Deductio Ceebftl e
date this application is signed 1 L ZO (date of signature) I (We)
4YOwn III Am(are)buying under recorded contract
Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation tHave a beneficial interest in the trust or the nght to occupy the property under the terms of a qualified personal residence trune"c UCGC a eit
Am(are)the shareholder partner or member of the entity that owns the property GIBSON COUNTY A DITOR
Recorders Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District(city,town,town •
CS 0f1 • O VS W lt;tr
Parcel Number Legal Description Is the properly in question
Real Property ❑ Annually Assessed Mobie Home(IC 6-1 1-7)
If any portion of the residential structure or the land not exceeding one (1)acre that immediately surround hat structure is used to produce income,descnbe the use and portion
of the property utilized to produce income
4 / .. p5 - 5g _ o s (o - Do 3 . 307 . of 8
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County,and Township Is Claimant Vacating a Homestead?
Yes ,;No
Si. atur o CI-i- ant
I hereby certify the above statements are true, correct, and complete ,1e l;; rI ;' ,
Address of Contact(number and street fry a rid ZIP code) Ad.res of Vacated Homestea. 7 ny(6 ber and street city stare, and ZIP code)
) N.-pm . : I N L"I loldo
ASSESSOR USE ONLY ASSESSED VALUE 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)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile/
Manufactured Home Garage (5)
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 (date. month year)
STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser of 60% of the assessed value of the homestead or S48.000
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 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
Sivature of Auditor. ^ Date Signed(month day,year)
)o07?- 1A-.^2 (—.JI ,
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DISTRIBUTION: Original-County A.ua:or File-Stamped Copy -Taxpayer
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