Homestead_Johnson (5) CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD/SUPPLEMENTAL DEDUCTION
1,44t FORM YEAR
2 11 State Form 5473(R18/1-20) HC10 '7022—
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) Ma=111, grill -"S 6
• certify that I(we)occupied as my(our)principal
place of residence or a (are)buying the following described real .property4 nder tActIor which a Homestead Property Tax Standard
,..)
2
Deduction is hereby claimed on the date this application is signed, 2_ .L2..-c., .. ,
(date of signature). I(We):
Own
IXLi Am(are)buying under recorded contract.
Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
1 CA Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust.
0 Am (are) the shareholder, partner, or member of the entity that owns the property.
If buying on contract,Fee Simple owner's name
Recotders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Township Taxing district(city town township)
-Parcel number Legal description Is the property in question -
El Real property Li Annually assessed mobile home(ice-1 1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income.describe the use and portion
of the property utilized to produce income
7,. L7 _ Li — 6 0 2. --0 0 ‘z 0 LI 2_0 \-. — .
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State.County.and Township is Cl i and vacating a homestead?
Yes 0 No
- n re of claimant
I hereby certify the above statements are true,correct,and complete.
Clk,
Address of contact(number and street.city state and ZIP corie...)+, Address of vacated homes cad if any umber end s reel,city state,and ZIP code)
1 lb 4 0 0 1 . 11 - (--n -r1 2- ' AO----- \.) --r)( - '
ASSESSOR USE ONLY I ASSESSED VALUE ! HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding one(1)acre immediately
_surrounding residential improvements (1) .:',1,,,'- :'-.-'4 ',:':4.-44.'i:•:' - 7 :.
Other land (2)
Total land(line 1 plus line 2) (3) -F
Residential improvements or Dwelling (4) t ,--i.'•..,.-,..i,:',,,-;.•?...:„.: ..,
, annually assessed mobile/ 444U- ' '-.,a
manufactured home Garage (5) - _,
_.',._•..,:x-5,,i-L.--- til,,,,,.:7'1.IT,.7,..,,,."i.::,,r.",
Other improvements (6) FEB 2 5 zort!,;: ,:t..,,,,,,fy,,,,,,,,,,,,A,,,
Total improvements(line 4 through line 6) (7)
c--
Total value (line 3 plus line 7) (8) 4
, :'.!..-,.'1..-f 6 .?..—•.17.172W— I Date signed(month day year)
1 I hereb c ycertify the above is true,correct,
L and complete. 901BSON COUNTY AUDITOR
I Verifying action-Signature of Auditor Date signed(month day.year)
STANDARD DEDUCTION ALLOWANCE
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000.
1 Notwithstanding any other provision,the sum of the deductions provided in/C 6-/1-12 to a mobile home S
that is not assessed as real property or to a manufact -d home that is not assessed as real property may
not exceed one-half(1/2)of the assessed va/ue of •.de home or manufactured home.
Signature of Auditor \.....)3
-----V..„) Date ignec.....jiiont C,...2a.. r..2"<:::)2_2_
DISTRIBUTION' Original-County Auditor.File ped Copy-Taxpayer
Page 1 of 2
NOTICE OF HOMESTEAD STANDARD DEDUCTION
IC 6-1.1-12-37
The homestead standard deduction has been enacted to allow a property tax deduction for each qualified homestead.
Read carefully the qualifying guidelines below:
DEFINITIONS: "Homestead"means an individual's principal place of residence:
1. that is located in Indiana;
2. that:
a. the individual owns;
b. the individual is buying under a contract,recorded in the County Recorder's office,that provides that
the individual is to pay the property taxes on the residence and that obligates the seller to convey title to
the individual upon completion of all of the individual's contract obligations;
c. the individual is entitled to occupy as a tenant-stockholder(as defined in 26 USC 216)of a cooperative
housing corporation(as defined in 26 USC 216);
d. is a residence described in IC 6-1.1-12-17.9 that is owned by a trust if the individual is an individual
described in IC 6-1.1-12-17.9;or
e. is a residence owned by a corporation,partnership,limited liability company,or other entity and the
requirements of IC 6-1.1-12-37(k)are met;and
3. the principal place of residence consists of a dwelling and the real estate(up to one(1)acre)that
immediately surrounds that dwelling.
"Dwelling"means any of the following:
1. Residential real property improvements that an individual uses as the individual's residence,including a
house or garage;
2. A mobile home that is not assessed as real property that an individual uses as the individual's residence;2
3. A manufactured home that is not assessed as real property that an individual uses as the individual's
residence.
WHO MAY QUALIFY: An individual who:owns a homestead,is buying a homestead under a recorded contract that requires the
individual to pay the property taxes and that obligates the seller to convey title to the individual upon
completion of all of the individual's contract obligations,or is entitled to occupy the homestead as a
tenant-stockholder of a cooperative housing corporation.
A trust is entitled to the homestead standard deduction for real property owned by the trust and occupied by an
individual if the county auditor determines that the individual:
1. upon verification in the body of the deed or otherwise,has either:
a. A beneficial interest in the trust;or
b. The right to occupy the real property rent free under the terms of a qualified personal residence
trust created by the individual under United States Treasury Regulation 25.2702-5(c)(2);
2. otherwise qualifies for the deduction;and
3. would be considered the owner of the real property under IC 6-1.1-1-9(f)or IC 6-1.1-1-9(g).
No portion of a residential dwelling that is income-producing is eligible for the homestead standard deduction,including,but not limited
to,one-half of a duplex side or rented apartment that is a part of the structure,a beauty shop or crafts shop in one or two rooms of the
12-37.5
A person who is entitled to a homestead standard deduction is also entitled to receive a supplemental deduction from the assessed
value of the homestead to which the standard deduction applies after the application of the standard deduction,but before the application
of any other deduction,exemption,or credit for which the person is eligible.
The amount of the supplemental deduction is equal to the sum of the following:
1. Thirty-five percent(35%)of the assessed value that is not more than six hundred thousand dollars($600,000).
2. Twenty-five percent(25%)of the assessed value that is more than six hundred thousand dollars($600,000)
The county auditor is required to record and make the deduction for the person qualifying for the supplemental deduction.
The statutory limit of one-half(1/2)of the assessed value that applies to the sum of the deductions provided under 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 does not apply to
the supplemental deduction.
INELIGIBILITY PENALTY: If an individual whose property becomes ineligible for the homestead deduction fails to file a certified
statement with the county auditor notifying the auditor of the ineligibility within sixty(60)days after the
date of the change,the individual is liable for the amount of the deduction allowed for that real property,
plus a civil penalty equal to ten percent(10%)of the additional taxes due.
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