HomeMy WebLinkAboutHomestead_Harvey (4) -c•• CLAIM FOR HOMESTEAD PROPERTY TAX
A1 YEAR
l•o STANDARD I SUPPLEMENTAL DEDUCTION FORM
, State Form 5473(R21 i 7-25) HC10 2)----
'••• Prescribed by the Department of Local Govetnrient 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) P V`� lik 1111 1 e. w.., - certify that I(we)occupied as my(our)principal place of
residence or am(a :)buying the follgwli,gA I under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
•ate this application is signed, C 1..._( lJ (date of signature) I (We):
�e Own ❑Am re)buying under recorded contract
• - (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
ElAm(are)the shareholder partner, or member of the entity that owns the property
if Burying on Contract,Fee Simpte Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County Township ......_\____ Taxing District(pry.town. township)
9 , _) 01\''
Parcel Number Legal Description Is the .roperty in question
I- 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 sun. •is I structure is used to produce income.descnbe the use and portion
of the property utilized to produce income
ap ....— 1 v ,zirs---_____ ,--2„..... 3
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Vacating a •7 (14j("'CA
❑Yes 1111 No
i
attire of Claimant
I hereby certify the above statements are true, correct, and complete. 7.--- ._,-----
A.• ass • Contact(number and street state, rid ZIP code) Address of Vacated Homestead,if any(number end street,City. e. and ZiP code)
q • — 1 rDf\
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAn V."-.Lut 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 or Dwelling (4)
Annually Assessed Mobile i - ,
Manufactured Home Garage (5)
Other Improvements (6) b 256
Total Improvements(Line 4 through Line 6) (7)
Total Value (Line 3 plus Line 7) (8)
Signature of Assessor sFT/JED
llf S ran nyear)
I hereby certify the above is true, correct, and complete. �'BSON C011� ' ,� t vrT
Verifying Acr�on-Signature of Auditor Date Signed (date,month,year)
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31, 2024:in 2025.
20 Pay 20 $48,000. in 2026,$40,000. in 2027.$30,000; in 2028, $20,000,
in 2029. $10.000;and beginning with the 2030 assessment date
and for each assessment date thereafter, $0. $
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(1/2)of the assessed value of the mobile r
home or manufactured borne
Signature of Auditor Date Signed day,year a
ill z •` ` \\ 1
DISTRIBUTION: Original-County Auditor.File-Stamped Copy-Taxpayer --_________,
Page 1 of 3
e
❑
r
❑
_$
•