HomeMy WebLinkAboutHomestead_Martin (15)"'" CLAIM FOR HOMESTEAD PROPERTY TAX YEnrz
a STANDARD / SUPPLEMENTAL DEDUCTION 1/� HCRO �
a State Fortn 5473 (R12I 6-09) O"
�O � Preuribed by Ihe Depariment W Local Govemmeni Fnance . I, �. ,
T1 Zf Y v� a-�
INSTRUCTIONS: See reverse side !or filing inshuctions.
� (�'�e) ��� � .� ��(�? M T (� }�Qi�. I� certiTy that I (Wtl�nCCUpie�DB�y'(Y�ur) prindpal
place of residence or am (are) 6uying the following described real property for which a Homestead Pmperty Tax Standard Deduction is hereby daimeE
under conUad on �he date Nis applicatlon is filed, (date of filin .
9)
❑ I(We) own ❑ Am (are) buying under recorded conVact � �/ ��'i
❑ Am (are) entltled to occupy as a tenant-stockholder of a cooperative housing corporation GIBSON COUNTY AUDITOR
� Have a beneficial interest in the wst or the right to occupy the pmperry under the tertns of a qualified personal residence Wst
�
II buying om m�traq Fee Simple ownefs iume
RecoNefs affice where mntred is recortled
Counry
d�strict (cif}; town, township)
RecoN number � Page
Q1 � YV !✓ {-r �Ob '�p� • Legal deSaiPtion . Is Uie P�oPertyin 9urstion: . .
❑ Real pmpeny ❑ MnuaAy assessed rtrobile home (IC 67.7-
�1f any portion of the residential swcWre w land not exceedi� d�e (7 � aae Nat immeEiatety surtountls Nai sWCture is used m produce imm�e, descnba the use and portion
of the pmperty utif¢etl W produce income.
P��3�t-3- � � a. �y4 ��
Counry
To.mship
I hereby certify the above ststemenis are we, corred and complete.
rlfy, state, arMZlPCOtle) ' ^
\ LanA not ezceeding 1(one) acre immediatety
surtoundin residendal im rovements.
Otherland
Total land (line 1 plus line �
RnidenUal improvementv or Annualty �����9
Assessed Mobik I Manufactured Home Garege
Other improveme�
Tofal improvementa (line 0 thioug� line �
Toql value (fine 3 plia line �
I hereby certify the above is true, cortect,
and complete.
laifying aaon - Sig�Nre of Audtor
i+)
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(3)
(4)
(5)
(6)
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SignaNra af Auessar
Caunry
5' n u o( daimant
� ti7
20� pay 20 Lesser of 60% of fhe assessed value o��ihe homestead or $45,000
NoN+i(h5larMing any oNerprovision, the sum o11he ded�n:tia�s pm�xfed in IC 6-1.1-12 to a rtroN7e Mme Na( is �
rot assessM as Bal property a lo a menufeGUred hwne Nat is nof as.ussed as 2al property may nof erceed
one-haH (12)W Ne assessed value of fhe rtabde home ar manufaGUred home.
SignaWre o1NMItw
Township
�ate sgne0 (mmth, day, ysa�
Date signetl (mmth, aay, yea�
Date signeE (rtronN, Cay, yxa�