Loading...
Homestead_Powell II , a.. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR , �1 STANDARD/SUPPLEMENTAL DEDUCTION FORM 2023 State Form 5473(R10/1-20) 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) William Powell II 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 Deedduytlon is hereby claimed on the date this application is signed, (E,/a(p/2.3 (date of signature). I(We): I_7 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 owner's name Recorder's office where contract Is recorded Record number Page PROPERTY DESCRIPTION County Township Taxing district(city,town,township) G'son 018 White River Parcel number Legal description Is the property in question: ©Real property ❑Annually assessed mobile home(IC 6-1.7-7) 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. 26-04-24-400-002.068-018 PROPERTY OWNED ELSEWHERE BY CLAIMANT State,County,and Township Is claimant vacating a homestead? © Yes ❑ No Si of eta ......„. 1.4.1110:___L__„/___fr I hereby certify the above statements are true,correct,and complete. Signature Address of contact(number end street,city,state,and ZIP code) Address of vacated homestead,if any(numbe andstreeC'Ei state,and ZIP code) Newburg,IN-House sold in 2021 ASSESSOR USE ONLY ( ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL VALUE Land not exceeding one(1)acre Immediately - • surrounding residential Improvements (1) Other land (2) Total land(line 1 plus line 2) (3) Residential Improvements or Dwelling (4) �114LUJJ 311AAA annually assessed mobile i manufactured home Garage (5) JJN 2023 , j ' " - " • Other Improvements (6) , Total improvements(line 4 through line 6) (7) LCZG/ a A 46;n4) Total value (line 3 plus line 7) (8) CIBSON COUNTY AUDITOR I 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 $ > that is not assessed as real property or to a manufactured home thefts not assessed as real properly may i..)1/4 not exceed one-half(1/2)of the assessed value of the mobile home or manufactured home. Signature of Auditor " `21/Z Date signed/(month,day, W w DISTRIBUTION:Original-County Auditor,File-Stamped Copy-Taxpayer , Page 1 of 2