Homestead_Loewenkamo iA..�.%!..0
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
' STANDARD/SUPPLEMENTAL DEDUCTION FORMHC1O 2023
YE
State Form 5473(R19/1-23)
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.
CONTRACT RECORfIED
If Buying on Contract,Fee Simple Owner's Name
N/A
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District(city,town,township)
Gibson Johnson Haubstadt, Johnson
Parcel Number Legal Description Is the property in question:
26-23-15-300-000.240-024 PT N SW 15 4 10 .50 AC ❑✓ Real Property ❑Annually Assessed Mobile Home(IC 6-1,1-7) .
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.
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is Claimant Vacating a Homestead?
IN, Gibson, Johnson ❑yes p No
t :of Claimant
I hereby certify the above statements are true,correct,and complete.
Address of Contact(number and street,city,state,and ZIP code) r".of\race Ho ,it any(number and st city,state,and ZIP code)
2513 E Warrenton Road, Haubstadt, IN 47639
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential Improvement
Other Land (2)
Total Land(line 1 plus line 2) (3)
Residential improvements ob or Dwelling (4) fir,-^�
Annually Assessed Mobile/
Manufactured Home Garage (5) r;
Other Improvements (6)
Total Improvements(Line 4 through Line 6) (7) DEC 0 4 202
Total Value(Line 3 plus Line 7) (8)
Signature of Assessor Date Signed(date,month.year)
I hereby certify the above is true,correct,and complete.
Y1 ,,,,,i�
kr`' � �TOFt
Verifying Action-Signature of Auditor G.'Bg� l' I
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 properly may not
exceed one-half(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date Signed(month,day,year)
DISTRIBUTIO : Original-County Auditor,File-Stamped Copy-Taxpayer �(\
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