HomeMy WebLinkAboutMobile Home_Haydes Reset Form
w /4. i'".� CLAIM FOR HOMESTEAD PROPERTY TAX
YEARR
1'' STANDARD / SUPPLEMENTAL DEDUCTION FORM /�
\!,� �•,s State Form 5473(R20 1 12-24) HC10 (� ��
.•- 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
MEM
I (We) (, '• ;.,s. certify that I(we)occupied as my(our) principal place of
residence or am(are)buying'"--' realpfapocty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
ate is application is signed / 1/ J 3 (date of signature). I(We)
Own. /-� ❑ Am are)buying under recorded contract.
_ . (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
._ Have a beneficial interest in the trust or the nght 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.
CONTRACT RECORDED
If Buying on Contract. Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County ✓ � Township • Taxing District(city. town, township) cm.) 247 -
Parcel Number Legal Description Is the properly in question.
❑ Real Property i 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 r ce income,describe the use and portion
of the property utilized to produce income
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a IX ,..... 11,„_,A 11).N ‘,.•
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(ACV‘-- -\ • ( (
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State, County,and Township Is Claimant Vacating a Homestead?
Yes ❑ No
Signature of Claiman
I hereby certify the above statements are true, correct, and complete.
Address of Contact (number and street. aty. state. and ZIP code( Add ss of Vacated Homestead.If any(number and street,city, state, and ZIP code)
22 � S • of • Sfi }'Aor % --Y) -`L14-41-0 i
ASSESSCP 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)
FILED
Residential Improvements or 1 Dwelling (4)
Annually Assessed Mobile/ , C\---k
Manufactured Home Garage (5)
Other Improvements (6) sta. 2 3 2025
Total Improvements (Line 4 through Line 6) (7)
Total Value (Line 3 plus Line 7) (8)
Signature of Assessor /l,4, t ri ''. ter)
I hereby certify the above Is true, correct, and complete. COUNTYcow • \...-.N
Glss
Venfying 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 tc a mobile home that S
is not assessed as real properly or to a manufactured home that is not assessed as real properly may not
exceed one-half(1/2)of the assessed value of the mobile home u ured home
Signature of Auditor Date Sig d nt a ea
n(lat1/4-A---1A Ins C) 725'1 . N..... .1 \..9
DISTRIBUTION: Original-County Auditor File-Stamped Copy- Taxpayer
Page 1 of 3 �� .i 1�
``
n41.• '
ii Mf\NUFACTURED (MOBILE) HOME PERMIT
State Form 7878(R9/3-20)
�y ies Prescribed by the Department of Local Government Finance
Isis
Type of mobile home permit
0 Section A- F9r Moving 0 Section Bc Transferring Title (NOTE: Separate permits required if owner intends to both move and transfer title.)
INSTRUCTIONS:
1. A mobile home may not be moved from one location to another unless the owner obtains a permit to move the mobile home from the county treasurer.
2. The Bureau of Motor Vehicles may not transfer the title to a mobile home or change names in any manner on the title to a mobile home unless the owner obtains a
permit to transfer the title from the county treasurer. (iC 6-1.1-7-10)
3. A county treasu { r shall Issue a permit which is required to either move, or transfer the title to a mobile home if the taxes, special assessments, interest,penalties,
judgments, and sts that are due and payable on the mobile home have been paid. The permit shall state the date it is issued. The treasurer must issue the
permit not later Ian two (2)business days (excluding weekends and holidays) after the date the treasurer receives a completed permit application. (IC 6-1.1-7-10)
4. A mobile home gqwner who sells the mobile home to another shall provide the purchaser with the permit required before the sale is consummated. This obligation
does not apply Id a mobile home offered for sale at an auction under iC 9-22-1.5 or IC 9-22-1.7. (IC 6-1.1-7-10.4) A person who violates this commits a Class C
infraction. (IC&1.1-7-14)
5. A mobile home owner must present a copy of this permit to the Bureau of Motor Vehicles when applying for title transfer. if the mobile home is to be moved, a
separate permit/crust be requested prior to moving.
6. A Form 1(Notice)of Placing of Mobile Home Upon Land or Lot)must be bled with the assessor within thirty(30) days after the date of placement of the mobile
home(IC 6-1.1-7-3)
7. The requirement to obtain a permit to move or transfer title to a.mobile home does not apply to a mobile home that is offered for sale at auction under
1C 9-22-1.5, IC 9-22-1.7, or IC 6-1.1-23.5 for the transfer resulting from the auction. (IC 6-1.1-7-10(a))
8. Documentation Orovided by person requesting this permit(IC 6-1.1-7-10(d)) ❑ State issued True ❑ Court Order ❑ BMVAfrdavit of Sale or Disposal
NOTE: A perrni to move or transfer title to a mobile home expires ninety (90) days after the date the county treasurer Issues it. When the permit
expires, it beco 'es invalid and the owner must obtain a new permit.
ATTENTION: MOVER, HAULER, OR TOWER
A person who Is engaged to move a mobile home may not provide that service unless the owner presents him with a permit to move the mobile home and
the permit is dated not more than ninety (90)days before the date of the proposed move. The mover shall visibly display the permit while the mobile home
is in transit. The'Hover must return the permit to the owner of the mobile home when the move is completed. IC 6-1.1-7-11
Name of owner's agent; if there is an agent acting on the owner's behalf Agent's telephone number
( )
I SECTION A- MOVING PERMIT
Name of owner Date of issuance of permit (month, day,year)
Address (number and street, city, state, and ZIP code) pate permit expires (ninety(90)days after issuance)
Make of mobile home Year Dimension Vehicle identification number
Address of present toeatlon (number and street, city, state, and ZIP code) Affected parcel number
Address of new location (number and street, city, slate, end ZIP code) Contact telephone number
i ( )
•
` CERTIFICATION OF COUNTY TREASURER
i Tfie application to.move or transfer title (as indicated above) of above described mobile home has been reviewed with the records in this office and
G
1 herebx cegifylth.t all taxes due on the mobile home have been paid,
i.•rr
e`df CduO no, County/ f Date signed (month day, year)
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1(;DiSTRIB9''ON: Original -Owner of Mobile Home, Copy—County Treasurer, Copy- County Assessor or Township Assessor, if any
.
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•,tk �., a•A:.�`•.-t ._•. u , ,..s• '-.: ;sSECOND REASSIGNMENT BY'REGISTERED'DEALERONLYa's°,' `* t` ",ry +"�s'r ,
I/yveI:as Seiler ce frthat to the best of my bur ' -:; f. �. -
,.,•4 •,., , � 1 N. E ,"� ;:, Name of'Purchasec �,° ., ,# . fi. ,^ �, Dealer'Hummer ;+ .,< •e
knowledge•the inforxriatior%oontained anthis document ®* r 1Li
. is
Is true.arid-correctand that the odometer meireads-.•- ._, , ,
ti- .. 4 ; e • Y. ; Address 5 x ,,,t r';'' " _; ,;' y'r„ -
and I&_Elie:CTUA(.MiLEAGE'of the:vehide unless,ono" y ' , li„^ ' . }a r.
of the foilowing statements is sheckeu. "' - ac - - •
❑ The odcmetes reading stated ls'in excess of Rs• ' The odometer reading is not ettt,d!+s•' �.: city ce..1 .�., - State' ,. " Zlp.Code - -
:`niectianlcol Iimits" ' ' .' • a WARmileNING+DDOMEIEit D[SCREPANC r ~'� / +..r•.^'�.' _" - • , .
Name of Dealershi '1 ?7. +' i 4- r' x4. .,-y, E-"" . , " it, x*, 17...,UqIder af.lsen, m• ortgage• or:encurribrance (if applicable) f •
Pig. c, r i14av ' it r, 7•j-
Si Itatiire* a� .tfJ. t i . ..5 ! s' �.•+rr,.j tuaefi �'� :l(' Nr. Addressyr`, us .21.1r i -:I- -
'- - � f Y s.:�' fir"
PrintedlName i- _ ere - 4- ',%.;.+r;, �s ,,:-::.F ?Ili City - ";J_ . - • `State Zip Code
. . •- • • • - .
:' • I AMO AWARE•OE:THE ABOVE ODOMETER CERTIFICAnON'MADE BY THESEtIER(S>•:.
- ` Position .1 •1 ` % . ''c - • DeelerNrirriber ''• - • +
h 1 -
nu; •• Signature•of Purchaser . ;:'.,' e.,', ', • PrintedName of(?UrYha$ = ?: w` -.
Date;gf Sato tm,eR eaY > Y •
h' ?• .ai ,' . , • ,, b. r ,.. t4 "`.•t• ? it . :t '..tit ^L - '4. L_ ,"4o'r.
t -, 1 nIRo RE=ASSIGNMENT'„SY-REGISTEREDIDEALER ONLY , - "` .
IIwe as Seller;certify that to the best of my/our ; .,� • S •' Name of�PD`rchaser 'r'.. . --• �t -t-•`Dealer'Number`�
knowledge the information contained on this document n ¢
is truq and correct and that the odometer now reads •-- — 'r Pi f t Aatit - ••
-
an'd�'.isthe.ACliIAL h 1,WdEof the,vehicle unless one y *"r r t, 1 f.ale.;
t '_ ;
of tNe foilovuiog statlrients,is checked�� ih_ ' : ; t
z�zet�_i Tfre.t 'metei;•P.'S" s•tates!- • ez s af' - • ?he odometer reading is not actual' _ Cittr 5=`.! State + j Zip Code Y, r• • #
:'a-.t,fiiettia ica!omittss,,...„. n .,.w �:miieage - -. • i , • j. -h ,Y~ .'. t?2 . .A.' ,•f y e • u"i.
-• •.+ R «'-1 t w ^ WARNING ODOMETER DISCREPANCY: ! >-„•-. .
Namesof Dealership' < ^ ,?• *`; ry4; •r:• ..: • #s• e. .7` t r Holder dfrtien;pmortgage o t enc.7„ass • e (if applicable) j-' y_r. ' "i
Slg;iature t `Address
i f, • -7. `t , "a-'' • ,.'Clty ,}1;c 5. State .4. Zip Code •
_ • Printed Name '+1? 4: rr I. `4 - +. ,. t.- ^ rr-- ,;fit 4, j • y , cw 4,fr. ' • ,. -
'• ' <- s'\" -A,
�' • _, - - I771",'AMrAWAI't@•O! <THE AsovE 6DDMETER CER7IPICA710N.MADE BY THE 5E]lERiS)
Position g� =r t• - V, " .h Dealer Num"be rip .�. F t _ y
t »,, t , t y, - Signature af.Purc}iaser . Printed Name of Purchaser
Date of Sale immw mr iwr. t' , 3: z.Mi• 1 r ":a , { - t ,
rCRr/.r rs4`•.7*fl...4:103!::.l:'f'.C•40.r.:. .«-. .. ..-«..-. .......,. -... .S. .•. : .-_-�.,;.•..........:....=L" __''S__ .\'l -S. - _ _ .tip .. ,. , :. » :. .. . _ rW::.*GIL�..ti....:.F,A,.t. •' ;!.:1,Pi,R:Y.-'4.:r1::
26428.05251.00 Stewar�tt Charles E 3222 W SYCAMORE ST 700,Annually Assessed Mobile Home SANDY ACRE 14 1l2
Ge!'�Ie�al�lnfo1r}�*alio� tEt1 ��� xZr"�� o T v�ya� �..�an� p, 'Pat'
,� ''tm ' 1 ",Lti; �r �"1"Sl.`�'ri"iiVl`I':nt'V' A ,, w
� �; - ' � � �7�° ,� ,, �' '�': Transfer;�owr>.ershlp` ,�. � � •,��� "� � t�ges ;�,,
Parcel Number Stewart, Charles E Date Owner Doc ID Code BooklPage AdJ Sale Price VII 1nu202525 P 25;• No change
•26-428.05251.00 3222 W Sycamore St 09/07/2022 Stewart Chases E
Local Parcel Number PRINCETON,IN 47670 111101202424 P?aw Priced ad ut Shed
26 28-05251.00 1112►2023 Z3 P A: Na axle,added NV u►L
Tax ID; a y SHED
,, jd g'i c�xa .' ;.: 9119120222zn37'NEWPARCEEUT111E--
1969 ManerdVSandy Aces Pk 10185 TRANSFER 9Rrl022 WAS ASSESSED TO ROBIN
Routing Number 51T50N2611.10400-004,064-028 RIPPETOEONPARCELA26.426-05141-00
428.215 911912022 Pant;; 1969 MONARCH
SITSV9 59124714properly Class 700 lIll i �Il IiIk�I Ulla AAMH ON 2611•t0 g0ad4.osa o26•SANDY '
Annually Assessed Mobile Home
G ng. 1ACREs PK loran
,n, !,1VxalaaoiR Old ok;IP1Poes cua"r fe aIsndl4e Seegktohae) e.1 .-4Year:2025 2025 Assessment Year 2025 2024 2023
� ,.� ;. . :'r; WIP Reason For Change AA AA AA
County 01113/2025 As 01 Date 01/14/2025 01/1212024 01/01/2023
Gibson Indiana Cost Mod Valuation Method Indiana Cost Mod Indiana Cost Mod Indiana Cost Mod
Township 1.0000 Equalization Factor 1,00am 1.000a 1,0000
PATOKATOWNSHIP Notice Required 0 v [
District 028 (Local 028 ) $0 Land
$0 $0 $0
PRINCETON CITY
$0 Land Res(1) $0 $0 $0
School Corp 2735 $0 Land Non Res (2) $0 $0 $0
NORTH GIBBON $0 Land Non Res (3) $0 • $0 $0
$2,200 Improvement $2,200 $2,300 $1,000
NeIghborhood 479-028 $2,200 Imp Res(1) $2,200 $2,300 $1,000
SANDY ACRE $0 Imp Non Res(2) ' • -- .. $0. . -._. .. $0 .__ .. $0 . . , ._
SectionlPlat $0 Imp Non Res(3) $0, $0 $0
$2,200 Total $2,200 $2,300 $1,000
$2,200 Total Res(1) $2,200 $2,300 $1,000 ' .` ;tLand�Gtimp"i$a°tansy`
Location Address(1) $0 Total Non Res(2) $0 $0 $0 Calculated Acreage 0.00
3222 W SYCAMORE ST $0 Total Non Res(3) $0 $0 Actual Frontage 0
0
PRINCETON,IN 47670 ` =1 s '� :4;1 '�d pa a S atl" artl De tb e1 re,0' Cla 2.0 Ba's lro f es'0 C g �'0,' Ycy- '4,ritr -4
-� ,��.�.;��.} ,�...�(..a.....�..l..,,A„�� .�� �...,<�.,.r,,i.�-..�� ��,1, :� YC Developer Discount 0
Pricing Adj Ext. Inn. Market
Zoning ype detho Soil IS0 Front.
ro` Size Factor Rate Rate Value % Factor Cap I Cap 2 Cap 3 Value Parcel Acreage 0,00
81 Legal Drain NU 0.00
Subdivision 82 Public Roads NV 0.00
83 UT Towers NV 0.00
Lot 9 Homesite 0.00
91l92 Acres 0.00
Total Acres Farmland 0.00
Market Model
479-028-Residential Farmland Value $0
fi '4- Measured Acreage 0.00
' ` •'t' Avg Farmland Value/Acre 0.0
Topography Flood Hazard Value of Farmland
0 $0
Public Utilities ERA
Classified Total $0
_Farm/Classifed Value $0
— , Homesite(s)Value $0
Streets or Roads TIF 91192 Value $0
C Supp. Page Land Value
Neighborhood Life Cycle Stage CAP 1 Value $0
Other CAP 2 Value S0
Printed Wednesday,July 23,2025 CAP 3 Value $0
Review Group Data Source NIA Collector Appraiser D1/09/2025 Pam Total Value
$0