Homestead_Cleveland !it-4 't CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
i• - STANDARD / SUPPLEMENTAL DEDUCTION FORM
,\ ,_.. State Form 5473(R21 I 7-25) HC10 2025
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) Vicki L.Cleveland certifythat I (we)occupied as myour p (our)principal place of
residence or am(are)buying the followingT desc bed real property under contract for which a Homestead Properly Tax Standard Deduction is hereby claimed on the
date this application is signed , 1 �-_,Z.C,.) (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 Owners Name
N/A
Recorder's Office Where Contract is Recorded Record N her Page
PROPERTY DESCRIPTION
County Township Taxing District fy,town,township) 411.
Gibson Montgomery
Parcel Number Legal Description Is the property in question. OV f
26-17-30-200-001.446-021 ❑✓ Real Property ❑Annually Assesse2oli a(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 to produce income,describe the Jse and portion
of the property utilized to produce income
/Z-t_e_c, /Th/V
oN co, , • •
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Vacating a Homestead?
nn C .S O . ❑Yes ❑✓ No
Signature el Claimant. ew
I hereby certify the above statements are true, correct, and complete.
i
Address of Contact (number and street, city. state,and ZIP code) Address of Vacated Homestead,rf any(number and street, city. stare, and ZIP code)
8551 S SR 165, Poseyville, IN 47633
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE 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)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other Improvements (6)
Total Improvements(Line 4 through Line 6) (7)
Total Value (Line 3 plus Line 7) (8)
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)
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STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31, 2024: in 2025.
20 Pay 20 $48.000 in 2026, $40,000, 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
Signature of Auditor ` Date Signed(month, day, year)
L C�_ �� - 1 -- 1 - ate
DISTRIBUTION: Original-County Auditor, File-Stamped Copy-Taxpayer ��
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