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HomeMy WebLinkAboutMobile Home_Main s _ .• F Reset Form e`'` CLAIM FOR HOMESTEAD PROPERTY TAX YEAR r<t�itop�' STANDARD ! SUPPLEMENTAL DEDUCTION FORM ' State Form 5473(R20/12-24) HC10 '4.1-- 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 I (We) ,PmL.� C I certify that I (we)occupied as my(our)principal place of residence or ar4(are)buying • following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is srgne.. (date of signature). I(We) p,n n Am (are)buying under recorded contract ❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. C 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. `, If Buying on Contract. Fee Simple Owners Name 11, ` Recorder's Office Where Contract is Recorded Record Number Page (tt�A PROPER•:Y DESCRIPTION CatAty/ � � Townsde k Taxi s ( town, to il...:4 L al /cat �� D Parcel Number Legal Description Is the property in question 0/-a- e- Real Property Assessed Mobile!-tome(1C 61.1-7) glib If any portion of the residential structure or the lard not exceeding one(1)acre that immediately surrounds that structure is used to pr uce income,descrbe the use and portion of the property utilized to produce income C— ..... L-A k.. r) - (C) ----4-.)1 0 -- k.....J0 . PROPERTY OWNEr' ELSEWHERE BY CLAIMANT State,County.. -rid T• - ip. Is Claimant Vacating a Homestead" // v �l i/, , .4 L' __ Yes No \>.SIgna t e of CI mans L I hereby certify the above statements are true, correct,and complete. r C Addr- s of Contact m.- and street. city to an. g P cod:) Address I. .scaled Homestead `any(number and street,city sr,. .1-.7'71P code/ �1 • -if LL , - , „ / ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE I 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) Pk__ Residential Improvements or Dwelling (4) AID 1 Annually Assessed Mobile 1 - (��� ,1:) Manufactured Home Garage (5) J Other Improvements (6) ory �O Total Improvements (Line 4 through Line 6) (7) Gi±ei /. Rh Total Value (Line 3 plus Line 7) (8) C Q Signature of Assessor o ned(date, month, year) I hereby certify the above is true, correct, and complete. q '� Verifying Action -Signature of Auditor Date S 4d(date, month, year) STANDARD DEDUCTION ALLOWANCE *9— * 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/C 6-1 1-12 fo a mobile home that $ is not assessed as real property or to a m actured home that is not assessed as real property may not /` exce one-half(1/2)of the assessed lue of the de home or manufactured,home �^ 1 pil) c Srgr `Auditor /��'� Date n y ar` Iiiite (291 atk DISTRIBUTION: Original- County Auditor File-Stamped Copy- Taxpayer Page 1 of 3 ‘..._)1 pa ..<;c.;:• MANUFACTURED (MOBILE) HOME PERMIT ,;1;,, l t , State Form 7878 (R9 r 3-20) Prescribed by the Department of Local Government Finance • ' 3 1 : E .t �c!GIN�iitsMI 1. ►- Type of mobile home permit: ❑ Section A- For Moving A 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,-anct 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 shell 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 filed 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 safe 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 ❑ Court Order ❑ BMVAffidavit 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 becomes 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 mover 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 ( ) SECTION A - MOVING PERMIT Name o neF':`;�,; Date of Issuance of permit (month, day,year) _s_ .,. ks,4Ait �rJ�{q�a9s;ci ale, and ZIP code) Date permit expires (ninety(90) days after Issuance) �� 11 11 r dis4.4:. 1 At Makb of MobileNtimQ;s:I: a' ;K-. Vehicle identification number F- ,� Year Dimension ' ki . * =:4- } Oajdress of p Q • rtnb� and street, city, state, and ZiP code) Affected parcel number r. .'. .' ,ti ibn - ' ©4, Ja2•!1[�,:ieQ':: : ' 1 S.:o ld Addr(S oTnewleetiet.Nrib arid street, city, state, and ZIP code) Contact telephone number tit/Nil ``,,0,--' ( ) The application to move or transfer title (as indicated above) of above described mobile home has been reviewed with the'rrecords in this office and I hereby certify that a es due on the mobile home have been paid. Si of County Tre u r adLti h dun , Date signed (month, day year) // Gt bsof\ °,t•-Q S • DISTRIBUTI eh Original - Owner of Mobile Home, Copy - County Treasurer, Copy-County Assessor or Township Assessor, if any