HomeMy WebLinkAboutHomestead_Meade (9) & .74' \ CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
'} ,' STANDARD / SUPPLEMENTAL DEDUCTION H R10
State Form 5473(R19 I 1-23)
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CPrescribed 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 under1C 6-1.1-12-37.
41 I CERTIFICATION STATEMENT nelicstl,,..,,I (We) �i+tom certify that I(we)occupied as my(our)principal place of
residence or am(are)buyi •• - following^des�be real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
dated� this application is signed. S O� (date of signature). I(We): i-kone
LfQVwn. ,,,Am (are)buying under recorded contract.
❑Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
0 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 Buying on Contract, Fee Simple Owners Name
Recorders Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
Coon Township Taxing District(city,town, township)
• kipcuOr1/4....44),Locsk.04‘.....
Par mbar y\(i1ll( Legal Description Is the property in question
❑Real Property nnualty 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 produce income,describe the use and portion
of the property utilized to produce income. rk--‘ - 1 C L( 1 I \
-kt-- EtD-""r 1 -
- -4: ‘----CD, 14: ------ - - ___ ...._
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County and Township Is Claimant Vacating a Homestead
❑ Yes
Si •• • e of Claimant
I hereby certify the above statements are true, correct. and complete. ` ‘% •' ,
J •
Address of Contact(number and street, city. state and ZIP code) Address of V. •led • •- •.if any (number and stye. , y. sta, and Zl code)
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre immediately (1)
Surrounding Residential Improvement
Other Land (2) MEP ,
Total Land (line 1 plus line 2) (3)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile/ - - r
Manufactured Home Garage (5)
MAY 2B n25 - (K
Other Improvements (6)
Total Improvements (Line 4 through Line 6) (7) 1111CV
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'1 t•
-y/
Total Value (Line 3 plus Line 7) (8) 1 1�� AUDI TO-
Signature of Assessor G,BS°N Ci°1 13�Signed (date.month. year)
I hereby certify the above is true, correct, and complete. fe
Verifying Action-Signature of Auditor Date Signed (date. month,year)
STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser of 60°i,of the assessed value of the homestead or S48,000
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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.
Signatuvf Auditor i R 1 34a A- D t Date Signed (month, day.year)
,A..kciNt- , 6t,•
as_
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DISTRIBUTION: Onginal-County Auditor. File-Stamped Copy-Taxpayer
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