HomeMy WebLinkAboutHomestead_Hensley (5) CLAIM FOR HOMESTEAD PROPERTY TAX
YEAR
a ' FORM
STANDARD / SUPPLEMENTAL DEDUCTION' t !�: I
• �. State orni 5473 iR21 7-2 5) HC10
•'" Prescribed by the Department cf 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) Elizabeth A. Hensley certify that I (we)occupied as my(our)principal place of
residence or am (are)buying the following described real property x-der contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application is signed. 10/15/25 (date of signature). I(We);
✓❑Own. ❑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
N/A
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District(city, town. township)
Gibson Patoka CO Patoka Township
Parcel Number Legal Description Is the property in question
26-11-14-200-000.831-027 PT NE 1/4 14-2-11 ❑✓ Real Property ❑Annually Assessed Mobile Home(IC 6-1 1-7)
If any portion of the residential structure or the land not exceeding one it)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Vacating a Homestead?
None Eyes ❑✓ No
Signature of Claimant
I hereby certify the above statements are true, correct, and complete.
Address cf Contact (number and street. city state, and ZIP code) Address of Vacattkl Homestead.if any(number and street, eity, state. aQ ZIP code)
420 S. Richland Creek Drive, Princeton, IN 47670
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE NON RESIDENTIAL VALUE
and Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential Improvement _—
Other Land (2)
Total Land (Line 1 plus Line 2) (3)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile
Manufactured Home Garage (5) FIL D
Other Improvements (6) , t
Total Improvements (Line 4 through Line 6) (7)
Total Value (Line 3 plus Line 7) (8) DEC 0 9 20.'5
Signature of Assessor Date Signed (date, month. year)
I hereby certify the above is true, correct, and complete. /
Verifying Action -Signature of Auditor Date Signed (date, month, year,
GIBBON CO �111 "
STANDARD DEDUCTION ALLOWANCE
For assessment dales after December 31, 2024: in 2025,
20 Pay 20 $48.000. in 2026, $40,060: in 2027.$30,000; in 2028. $20.000:
in 2029, $10,000; and beginning with the 2030 assessment date
and for each assessment date thereafter. $0. $
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. r--`r
Signature of ditor C Date Signe (ma th. day. year)
):....kt.:1
DISTRIBUTION: Original-County Auditor,File-Slam opy-Taxpayer
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