Homestead_Stoner (2) tss CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
.1 1' STANDARD!SUPPLEMENTAL DEDUCTION FORM
s = Stale Form 5473(R19/1-23)
HC10 2.0 23
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
NOTE:Telephone,Social Security,driver's license,stale identification and federal identification numbers are confidential under IC 6-1.1-12-37.
CERTIFICATION STATEMENT
I(We)Amanda M.Stoner certify that I(we)occupied as my(our)principal place of
residence or am(are)buying the following described real property under contract forwhich a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application Is signed,61e/2023 (date of signature).I(We):
IZI Own. ❑Am(are)buying under recorded contract.
❑Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
0 Have a beneficial Interest In the trust or the right to occupy the property under the terms of a qualified personal residence trust.
D 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
Recorder's Office Where Contract Is Recorded Record Number Page
PROPERTY DESCRIPTION µy t
County Township Taxing District(city,town,township) -Nor.
Gibson Patoka _-
iT
Parcel Number -Legal Description is the property in question:
26-04-25-400-000.616-020 Hudson Farm East Revised 13 Neat Property ❑Annually Assessed MeMeHurr (( t:1 ��
If any portion of the residential structure or the land not exceeding one(I)acre that inunedialety surrounds that stricture is used to produce Income,describe the u Mt
of the property utilized to produce income. �_ ,,��. j
e22 c/L cte a /Yilel/na)
GIBSON COUNTY AUDITOR
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is Claimant Vacating a Homestead?
❑yes 0 No
Stgnate of Claimant
I hereby certify the above statements are true,correct,and complete. ll--
jV1 1(10
Vacated 1 t
Address or Contact(nu�tie,r and sire d,city,slat 1 and IP cola) Address of Vied Homesi¢�d,if any umber and shoal,city,state,and ZIP code)
t4tS I'nb11Q�/1 '3kc,-sn •
-
ASSESSOR USE ONLY ASSESSED VALUE i HOMESTEAD VALUE I NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential Improvement
Other Land (2)
Totai Land(line',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) (6)
Signature of Assessor Date Signed(date,month,year)
I hereby certify the above is true,correct,and complete.
Verifying Action-Signature of Auditor Dale Signed(date,month,year)
STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser of 60%of the assessed value of the homestead or$48,000.
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(12)of the assessed value of the mobile home or manufactured home.
signatures Ip�'. ok /Vl� V/ Dale Signed(moot day,year
DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer
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