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Home My WebLink AboutMobile Home_Huffstetler /l.+,>' CLAIM FOR HOMESTEAD PROPERTY TAX lirril / • STANDARD I SUPPLEMENTAL DEDUCTION FORM HC10 / - 6 l/l Stale Form 5473(R19 i 1-23) C ' »_--" Prescribed by the Department of Local Government Finance ii INSTRUCTIONS:See reverse side for filing instructions. aNOTE: 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) 1 e i , LL/- r F / certify that I(we)occupied as my(our)principal place of residence or am(are)buyin. the or f d e I erty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the dale this application is signed, � �� (date of signature) I(We): 14Own ❑Am (are)buying under recorded contract. ❑Am (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. CONTRACT RECORDED If Buying on Contract, Fee Simple Owner's Name Recorder's Office Where Contract is Recorded Record Number Page �� PROPERTY DESCRIPTION Count") Towns • , 4(01•9 I Taxing District(ci ,Ai.7ship) Parcel Number Legal P cription Is the property in question ❑Real Property Annually Ascrxsed Mottle Horne(iC 6-1.1-7) If any portion of the residential structure or the land not exceeding a(1)acre that immediately surrounds that structure is used to pr uce income,describe the use and portion of the property utilized to produce income, CX1) ---- 1. 1 ( .. -- er-- asr-- . --CE_ PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County.and Township Is Claimant Vacating a Homestead? 0 Yes $,No Signature of Claimant I hereby certify the above statements are true,correct, and complete. c r ri/✓ if/ +r er ss of Contact(number and street, city. state. and ZIP code) Crew s of Vaca . Homest= e'y(number and street, city, state, and ZIP code) '140 a) i 1u • c14C. -r' LDT A i n ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL VALUE �W Land Not Exceeding One(1)Acre Immediately 1.4 111 Surrounding Residential Improvement (1) Lk ‘W Other Land (2) Total Land (line 1 plus line 2) (3) —FILM— Residential Improvements or Dwelling (4) Annually Assessed Mobile/ Manufactured Home Garage (5) .. —MAR 18 2025 , Other Improvements (6) II A Total Improvements (Line 4 through Line 6) (7) Total Value (Line 3 plus Line 7) (8) YlhAILIZZ,e a 1 nj) ,....\ ,\(:) Signature of Assessor GissoNneoutervtoluaTerR csly 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 asse value of the bile home or manufactu ed home. Signal re f udito ailet4,44 j61 Date Sig m¢r}il� aC�'�l(� DISTRIBUTION: Original—County Audi,or. File-Stamped Copy—Taxpayer Page 1 of 2 •(- 4 10 1` C MANUFACTURED (MOBILE) HOME PERMIT �it ;);1State Form 7878 (R9/3-20) ., ,, n)� Prescribed by the Department of Local Government Finance fi r'* 4 . , L s 0010 Type of mobile home permit: ❑ Section A- For Moving k Section B -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 treasurer 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 costs 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 than 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 owner 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 to 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 6-1.1-7-14) , 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 must be requested prior to moving. 6. A Form 1 (Notice of Placing of Mobile Home Upon Land or Lot) must be tiled 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 IC 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 provided by person requesting this permit (IC 6-1.1-7-10(d)) ❑ State Issued Title D Court Order ❑ BMV Affidavit of Sale or Disposal NOTE: A permit 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 betomesinvalid and the owner must obtain a new permit, ATT_EisITISMAIVER, HAULER, OR TOWER' Ap` 6u.who is.e 933gged 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' bt.tOre then ninety (90)days before the date of the proposed move. The mover shall visibly display the permit while the mobile home i; is transit. The mover must-retum the permit to the owner of the mobile home when the move is completed. IC 6-1.1-7-11 �' I. i} Paine or" 'vs s en f Ittere is:an agent acting on the owner's behalf Agent's telephone number ; Nam':ot pwner. .�'� SECTION A - MOVING PERMIT \N\C) Date of issuance of permit (month, day, year) ' Address(nuinbaaer city, state, and ZIP code) Date permit expires (ninety(90) days after issuance) — Make of mobile home rYear Dimension Vehicle identification number Address of present location (number and street, city, state, and ZIP code) Affected parcel number Address of new location (number and street, city, state, and ZIP code) Contact telephone number ( ) CERTIFICATION OF COUNTY TREASURER The application to move or transfer title (as indicated above) of above described mobile home has been reviewed with the records in this office and I hereby certify that all taxes due on the mobile home have been paid. Sgna).),"ounty T .'.urer County Date signed (month, day, year) (9 DISTRIBUTi a N: Original - Owner of Mobile Home, Copy - County Treasurer, Copy - County Assessor or Township Assessor, if any .41 INDIANA BUREAU OF MOTOR VEHICLES t` . tc Kevin M. Garvey, Commissioner ,` State Form 9697 (RI 1 /5-22) TITLE NUMBER , I-1 9 9 7 0 5 3 f 25419012000040 Approved by State Board of Accounts, 2016 .. . it �.; C _ DO'NOT ACCEPT' 'facet 5H01NING ANY-E.FiK RES,_ALTERA`TI,t7NS t7R MtMQT AS_: _ "" 4 ' City State Zip Code ', Printed Name • .•- I AM AWARE OF THE ABOVE ODOMETER CERTIFICATION MADE BY THE SELLER(S) Position ' Dealer Number Signature of Purchaser Printed Name of Purchase? • Date Of Sale (^oaIR day,real _ I .. • -_ - • - SECOND RE-ASSIGNMENT BY REGISTERED DEALER ONLY r Uwe;,esSel(er;.certify that to the best of my/our ,;. �. "� ,- Name of Purchaser I Dealer Number'- -- , knowledge the information contained on this document ' " ' is tnie aad•correctTand that the odometer now,reads Address - and lithe ACTUAL i'iILEAGE of the vehicle unless one ^q ' - 1 ' of the'folluwjng statements is Checked. ` ', ('- e,.', r , , ❑ "'`r''' +� The odometer reading Ls not actual City State ZipCode The odometer reeding stated Is in excess of its ❑ mileage • mechanical limits. . WARNING ODOMETER DISCREPANCY. Nance of Dealership Holder of lien, mortgage or encumbrance (if applicable) i t, ;' Signature Address 4 ` Printed Name City State Zip Code 1 AA'AWARE OF THE ABOVE ODOMETER CERTIFICATION MADE BY THE SELLER(S) Position Dealer Number Signature of Purchaser Printed Name of Purchaser i" Date of S ale(nmrlt der,real - .. THIRD RE-ASSIGNMENT BY REGISTERED DEALER ONLY " I/we,.as Seller, certify that to the best of my/our Name of Purchaser r ' Dealer Number II - knowledge the information contained on this document I ' ' - ' Is true.and correct and that the odometer now reads ` . 'l Address ,' and IS the ACTUAL MILEAGE of the vehicle unless one of thefollowing statements is checked. ' _ ,The odometer reading is not actual City State ZipCode (f�'`'(l The odometer reading stated Is In excess of its ir!,'rmecbanlral limits, n, mileage WARNING ODOMETER DISCREPANCY: Holder of lien, mortgage or encumbrance (if applicable) ` Name of Dealership,••• , Signature:; Address • City State Zip Code - Printed Name I AM AWARE OF THE ABOVE ODOMETER CERTIFICATION MADE BY THE SELLER(S) Position !Dealer Number Signature of Purchaser Printed Name of Purchaser • Date of Sale (av,xh,dar, r0 J