HomeMy WebLinkAboutHomestead_BinhackCLAIM FOR HOMESTEAD PROPERTY TAX
� _ STANDARD/SUPPLEMENTAL•DEDUCTION
State Fortn 5473 (R12 / 6O9)
�O f• Presrn6 by Na Pepartmerit o( Local Go e n rtianca
� INSTRUCTIONS: See �rse side lor � � �
rg � stnictions.
FORM
HC10
YEAR
� •, .
� M'e) ��t3re) ocwpied as my (our) prindpal
place o residence or am (are) buying the following described real property (or which a Homestead Property Tax Sfandard Detlucfion is hereby daimed
under contrap on Ihe date �his appliralion is filed, � (date o/ filin
9) C .'J. .
❑ I(We) own ❑ Am (are) buying under recorded contract �
❑ Am (are) entilled [o ocwpy as a tenant-stockholder of a cooperetive housing corpor�{'%SON COUNTY AUDITOR
� Have a beneficial interest in Ihe Wst or Ihe right to occupy the property under the tertns of a qualified personal residence Wst '
Name a(daurum's spouse
F��^N
��
If buyin8 m contrad, Fee Simple awners name
Reooideh of6ce where mntract u recordeA
Counry Township
Drimrers ficense / Identi;rat
of daimant (lasf five d'g'dsJ
omrls Ikerte / Itlentiiralion / Olher num6er
of daima�rt's sGO�� (WSf fivB dg'2s)
town, townshiP)
Issu"vig Sta;e
Remrd number
P mbe�r /y� /��q��7 Leg/a�l Oeu�/np� tion Is �he D�PeNY � Queslion:
"����-.JIJW/�i/W•.i �V� l ❑��G�VenY ❑MnwOyasxssedmod'lehome(ICbf.f-�
ot �he pm �of�Nea� e�l�sew�e Ure IaM not exree0iny aro (7 ) aoe that unme0iatety wrtourMS ihat struc4na b used W yodwe inmme. EPSCribe Ne �ae and portion
Counry
Township
I hereby certify the above stetements are We, correcl and compiete.
slete, aMZlPCOde)
Land not exceeding 1(one) acre immediately
surrounding residential improvements.
Otherland '
Total land (line 1 plus line �
ResiCential impmvements or Mnualy �����9
Assessed Mobile I Manufacwred Homa Garsge
Other ImprovemerHS '
Total improvemenb (Ilne I fhrougA!!ne �
. Total value (!!ne 3 plis Ifne 7)
� I hereby certify the above is true, corred,
and complete.
Vaifying action - Sig�Nra of �cor
(�)
(2)
(3)
(<)
(5)
(6)
�8)
SlgriaNre af Asseswr
Caunry
20 _ pay 20 _ Lesser of 60% of the assessed value o/ the homestead or $45,000
NoMiMstaMUg any aUrer pro�ision. Ne sum olfhe detl�ctiuns pro�ided in IC E7.1-72 b e mo6i7e hortie Naf Is $
not essessed es real property a lo a manufadured hort�e Nat a mt assessed as real pioperry may not erceeA
orrehaH (1/JJ af fha astessetl rdfue d Ihe mo6de home ormanuhaWred fm�e.
59naLrte af AWttw
Towrahip
Datc signeE (monlh. daY. 3Ta�)
I D21e s9�ed (monlh. Qay, yea� I
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