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Homestead_Slaton • i'Pita ry°% CLAIM FOR HOMESTEAD PROPERTY TAX _ YEAR Adii 1 STANDARD / SUPPLEMENTAL DEDUCTION FORM ',MOP', State Form 5473(R21/ 7-2S) HC10 2025 .. Prescribed by the Department of Local Government Fn;►nte INSTRUCTIONS See reverse side for fihng instrncbons NOTE Telephone, Sooal Security, driver's license, state Identification and federal identification numbers are confidential under IC 6-1.1-12-37 CERTIFICATION STATEMENT I(we) Ahern J Slaton II and Robin salon _ certify that I(we)occupied as my lour)principal place of lesdence or am(are)buying the c(tbed[Eat property under contract for which a Homestead Property Tax Standard Deduction is hereby dawned on the date this application is Kited, � 1 4 -. (dare of signature) I (W e) ©Own ❑Am(are)buying under recorded contract. ❑Ann (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation ❑Have a beneficial interest in the trust or the nght 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 II Buying on Contract Fee Simple Owners Name RecaOds Office Where Contract is Recorded Record Ntanber Page PROPERTY DESCRIPTION County Township Taxing Drstnct(city, town,townshpf Gibson Patoka Township 027 -- Patoka Township Pared Number Legal Descnption Is One property in Question 26-11-36-200-004.901-027 PT NE 36 2 11 3.958 AC El Real Property ❑Annually Assessed Mottle Horne(IC 6-1.1-1 If any portion of the residential structure or the land not exceeding one(1)sae that nnrnedtate$y surorads that structure is used to produce inane.describe the use and portion of the property utilized to produce income PROPERTY OWNED ELSEWHERE BY CLAIMANT State County 1 C A Is Claimant Vacating a Homestead? ❑Yes) ' No I hereby certify the above statements are true,correct, and complete * � ` �� , ex Address d Contact(number and sstale.and ZIP axle V e if n v nstreet. '! Neel, city ) Address d Honest adany I u�b� and city, state and ZIP code) 3595 S 50 W, Princeton, IN 47670 ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON RESIDENTIAL VALUE Land Not Exceeding One(1)Acre knmedsately (1) Surrounding Residential kttproremertt - - Other Land (2) - ILED Total Land(Line 1 plus Line 2) (3) Residential i ovemnents or D veil. ,1) Annually Assessed Mobile I DEc i Manufactured Home Garage (5) 0 2O Other Improvements (6) ,3 - Total Improvements (Line 4 through Line 6) r7) ",zec. !', G/85U` Q %P Total Value (Line 3 plus Line 7) i CO Li Ail Ty �eZJ�4i6, ,12a) Signature of Assessor Date Signed(date a kwW,4iiefii I hereby certify the above is true, correct, and complete. Verdytng Action-Signature of Auditor Date Signed(date. month,year) STANDARD DEDUCTION ALLOWANCE For assessment dates after December 31,2024: in 2025. Pay S48.000. n 2026,$40.000, in 2027,S30,000; in 2028. S20.000. 20 )r)2029, $10,000:and beginning with tine 2030 assessment date and for each assessment date thereafter, $0 Notwtttnstandrng any other provision, the sum of the deductions provided in1C 6-f.f-12 to a $ mobile home that is not assessed as real properly 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. Srg►sturre of Auditor Dale S+gted(month day.year) _tit Q 12 U3a.,4--ikit.1 ` ' .— to DISTRIEW PI: O ^ounty Auditor Fite-Stamped Copy -Taxpayer Page 1of3 - ' S . ',. .___