Homestead_Kidd y R. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
,;► - i1 (STANDARD/ SUPPLEMENTAL DEDUCTION FORM
`\\ �, State Form 5473 R19/1-23) HC10 2024
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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) Kidd,Brandon/Haley 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):
❑� 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.
CLAIMANT'S INFORMATION
CONTRACT RECORDED
-
If Buying on Contract,Fee Simple Owner's Name • O
�COOQ
Recorder's Office Where Contract is Recorded tuber Page
PROPERTY DESCRIPTION
County Township Taxing District(city.town,township)
Gson 021 Montgonmery
Parcel Number Legal Description Is the property in question:
J❑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.
26-17-12-100-005.145-021
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is Claimant Vacati g a mestead7
❑Yes No
Si..:. Claima �-�
I hereby certify the above statements are true,correct,and complete.
Address of Contact(number and street.city.state,and ZIP code) Address of Vacated Homestead.if any(number and street,city,state,and ZIP code)
5490 S 775 W
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)
Total Land(line 1 plus line 2) (3)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile 1
Manufactured Home Garage (5)
Other Improvements (6) -0)
Total Improvements(Line 4 through Line 6) (7) 4p4
Total Value(Line 3 plus Line 7) (8) Gyro og Z I
Signature of Assessor �N C ' Date Signed(date,month,year)
I hereby certify the above is true, correct,and complete. Of/NTye �
A
Verifying Action-Signature of Auditor U�7T0 Date Signed(date.month,year)
STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser of 60%of the assessed value of the homestead or$48,000.