HomeMy WebLinkAboutMobile Home_Gaines (2) +:,fit, CLAIM FOR HOMESTEAD PROPERTY TAX
�. .. -. .. STANDARD / SUPPLEMENTAL DEDUCTION FORM -- YEAR
�. t`` State Form 5473(R18/1-20) HC10
���� Prescribed by the Department of Local Government Finance L
INSTRUCTIONS See reverse side for filing instructions_
NOTE: Telephone, Social Security, driver's license, stale identification and federal identification numbers are confidential under IC 6-1 1-12-37.
CERTIFICATION STATEMENT 6.'
..._ m Q ic
I (We) do i 1.-. ,t ' ittalli age . certify that I (we)occupied as my (our) principal
jplace of r- idence or a ( e) buying t, e following descri. dlreal property under contract for which a Homestead Property Tax Standard
D duction is hereby ciaim-d on the date this application is signed,8 — (s_-2 p s (date of signature), I (We):
1 ' Own. L] Am (are) buying under recorded contract.
i +1 JvT !
❑ i.
m (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.
If b-:r ^_ on contract.Fee Simple owner's name
j
I _
I Recorder's office where contra:t;s re_ored ;Record number Pane
l
PROPERTY DESCRIPTION
• County Township Taxing district(city town. township)
scow 1 __
_PI) ill
______
Parcel numb Legal description Is the property qu. 'ion
❑ Real property AAnnua y asssed mobile home(IC 6-1 1-7)
rIf any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure;s us • o pro• ce income•describe the use and portion
of the property utilized to produce income
6
aro
6 i ........_ 0 0
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County and Township 1 Is c im it vacating a homestead?
i
Yes [i No
-- -- - — i Signat of clairr!ant - -- - - -- �y -
I hereby certify the above statements are true, correct, and complete. ,
im
41 A/ .
,,Address of contact(number and street,city state. and ZlPccde ...---"" I Address of vacated homestead if any(number and street, city state. and ZIP code)'
1011S-- GOO %) \\ - — .C{) . 1 1 , 6':, 0
, 0 1 __, 1 ve\ YU_ NfN e4x,3 1.-\t\AmAj3
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTi.UL
VALUE LO-G 4 , .
Land not exceeding one(1)acre immediately 1 " ?
surrounding residential improvements O ., ,- , -.r.. .s.-- � 5...-_4+.
Other land (2) . ' leir
i• - _ , .
- ---------- -------------
Total land (line 1 plus line 2) (3)
Residential improvements or Dwelling (4) - - � Yi'.
annually assessed mobile I - •;. .1 ill . r,c.:-
Gara a - �
manufactured home 9 (5) f
Other improvements — (6) J /.
Total improvements(fine 4 through line 6) (7) 0a
j Total value (line 3 plus line 7) (8) >3 .
-_ Signature of Assessor Gies ! Date signed lmonth day year)
I hereby certify the above is true, correct, ON 1 \
and complete. (;
Verifying action-Signature of Auditor ( day y -�si ,ed month. year)
�'°'7019
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or S45.000.
Notwithstanding any other provision, the sum of the deductions provided in IC 6-1 1-12 to a mobile home S
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 = m:br• home or manufactured home. I ;
Signature of Auditor - Date sig Cl day.year)
to)
li-N I 1•1... -
(0 14° L)
DISTRIBUTION! Original-County Auditor.File-Stamped •• -T- .aver i-•1 [\�
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