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HomeMy WebLinkAboutHomestead_Graham (2)CLAIM FOR HOMESTEAD PROPERTY TAX s STANDARD I SUPPLEMENTAL DEDUCTION •;, State Form 5473 (R21 /7-25) Prescribed by the Department of Local Govemment Finance FORM YEAR HC10 a W INSTRUCTIONS. See reverse side for filing instructions. NOTE Telephone, Social Security, driver's license, state identification and federal identification numbers are confider" under IC 6-1.1-12-37_ CERTIFICATION I (We) �� 5'L�� �� , C C� �C� Y Y \ certify that I (we) occupied as my (our) principal place of residence or am (a ) buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, (date of -signature). I (We): Flown. []Am (are) buying under recorded contract. ❑ Am (are) entitled to occupy as a term"tackholder of a cooperative housing corporation_ ❑ Have a beneficial interest in the cast or the right to occupy the property under the terns of a qualified personal residence trust - [:]Am (are) the shareholder, partner, or member of the entity that owns the property_ INFORMATION Name of Claimant (legal name) Telephone Number of Claimant Enanl Address Social Security Number of Claimant past five digits) Diners License I Identification I Other Number of Cli immi (last five digits) Issuing State (Applicable only dapplkent does not have a social securfty number) L Name of Claimants Spouse (legal name) Social Security Number of Ctwnmd's Spouse (lest five dgtts) Dimes License / kler cebm / Other Number of Gasnanrs Spare (lssifive dgits) Issuing State (Appricable only d applicant's spouse does not have a social security number) CONTRACT••1 i If Buying on CodracL Fee Semple Owner's Name Recorder's Office Where Contract is Recorded Record Number Page PROPERTYDESCRIPTION County Township I axing D'retict (cv,, town, township) \'.., Parcel Number Legal Description Is the property in question: Real Property ❑ Annually Assessed Mobile Home (IC 6i1_1-7) If any portion of the residential structure or the lard not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property ubT¢ed to produce income. PROPERTYOWNED ELSEWHERE BY CLAIMANT State County Township Is Claimant Vacating a Homeste ? ❑ Yes No Si of Claim,, hereby certify the above statements are hue, correct; and complete_ Address of Car dacct (numberanrd�strme city, state, and LP code) AA&yiiiii of Va mestead, it any (number and street d, st te, Imil ZIP code) ASSESSOR USE ONLY 1VALUE HOMHTEADVALUE NONRESIDENTIAL Land Not Exceeding One (1) Acre Immedately (1) Suaroundin Residential Im nt Other Land (2) Total Land (Line 1 plus Line 2) (3) Residential Improvements or Dwelling (4) Annually Assessed Mobile / Garage (5) Manufactured Home Other Improvements (6) Total Improvements (Line 4 through Line 6) (7) Total Value (Line 3 plus Line 7) (8) Signature of Assessor D ,red (date, m year) I hereby certify the above is true, correct, and complete. 5f verifying Acton — Signature of Auditor �R I Date Signetr4F, month, year) C STANDARD DEDUCTION For assessment dates after December 31. 2024: to 2025, $48,000; in 2026, $40,000; in 2027, $30,000; in 2028, $20,000; q (/ 20 Pay 20 in 2029, $10,000; and beginning with the 2030 assessment date �/>1 and for each assessment date thereafter, $0. Nohvi0lstanding any other provision, the sum of the deductions provided in IC 6-1.142 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 -haft (1/2) of the assessed value of the mobile home or manufactured (tome. Signature of Auditor Date Signed (month, day yearn L11 /� t�L,rjC DISTRIBUTION: Original —County Auditor, File -Stamped Copy —Taxpayer Page 1 of 3 a CLAIM FOR HOMESTEAD PROPERTY TAX YEAR [ 1 STANDARD/SUPPLEMENTAL DEDUCTION FORM Stale Form 5473(R18/1-20) HC10 2Q ZZ - 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) O •-S C e ♦ - Y-0_`r 1 a.c(\ certify that I(we)occupied as my(our)principal place of residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, (date of signature). I(We): Et 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. If buying on contract,Fee Simple owners name ?\ Recorder's office where contract is recorded Record number I Page 1.3 Au Co ry� To hip r Tax district(city town.township) 022 unl�( �rj��1n �Q -(�11. C3. °�l J(— I8SpN CO Q Parcel number ice"` x Legal description '�I Is the property in question: CO ��...s�" ❑Real property Annually assessed mobile home(IC 6-146 /T 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 Ii7R of the property utilized to produce income • cD LC.— o(-t-0k-st -" c .. -•D` r_7D _ '-... -©� . PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County.and Township Is claimant vacating a homestead? ❑ Yes [k(No Sign f claimant I hereby certify the above statements are true,correct,and complete. X . r oa. Address of contact(number and street,city,state.and ZIP code) Address f vacat •me to .I any(number and stree,city state.and ZIP code) ---- el (' .��- \`.. -t e_.S4 • I. ' 'a % ! '-IL4kR LQ ASSESSOR USE ONLY ASSESSED VALUE 'HOMESTEAD VALUE 1 NON-RESIDENTIAL VALUE Land not exceeding one(1)acre immediately (1) "fi surrounding residential Improvements _ ,S,��R-, - ( - Other land _ (2) ""w'. _, Total land(line 1 plus line 2) (3) Residential improvements or Dwelling (4) annually assessed mobile/ - "---_---- _--- > manufactured home Garage (5) A•,-- �, Other improvements (6) Total Improvements(line 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true,correct, Signature of Assessor Date signed(month.day year) and complete. 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. Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-12 to a mobile home S 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 ofauditor a _ � _ Date signed((mmonth,day.year) •#"..—Is' / DISTRIBUTI N: Original-County Auditor,Fie-Stamped Copy-Taxpayer Page 1 of 2