Homestead_Fisher <fr. '.,� CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
) II STANDARD/SUPPLEMENTAL DEDUCTION FORM
` State Form 5473(R19/1.23) HC10 2024
ovi
* 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) Fisher Family Trust 4 I_Tc7 rl ('Y , _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, 12/31/2024 (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.
CONTRACT RECORDED
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)
Gibson 026 Ft Branch
Parcel Number Legal Description Is the property in question:
❑v Real Property ❑Annually Assessed Mobile Home(IC 61.1-7)
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 p ion
ofthe property utilized produceincome.2y ���1,f
6-19-1$-304-000.0.275-026 ((��,,pp � '1?
sf .61,
►1 CS --
12)3I/2o2M
PROPERTY OWNED ELSEWHERE BY CLAIMANT-
State,County,and Township Is Claimant Vacating a Homestead?
❑Yes ❑� No
Signature of Claim. t
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)
606 E Walnut St,Ft Branch,IN 47648
ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE I NON-RESIDENTIAL VALUE
LandurrNot ExceedingReside One(1)Acre Immediately (1)
Surrounding Residential Improvement Pite
Other Land (2)Total Land pine/plus line 2) (3)
Residential Improvements or Dwelling (4) �
Annually Assessed Mobile/ /
Manufactured Home Garage (5) "44/ /Q
Other Improvements (6) o" ?02
s
Total Improvements(Line 4 through Line 6) (7) (�+(
Total Value(Line 3 plus Line 7) (8) t7N CO(C
Signature of Assessor "f4/7`,fr Date Signed(date,month,year)
I hereby certify the above Is true,correct,and complete. q( h A
Verifying Action—Signature of Auditor /7.0'T Date 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(1/2)of the assessed value of th- obile home or manufactured home,
Signature of Auditor R1� Date Signe (month d year) ,
DISTRIBUTION: Original—County Auditor,File-Stampe"Copy—Taxpayer
Page 1 of 2
7 \
CLAIMANT'S INFORMATION
—
sparse bf Ci•`:I.., egal name),:
' , ,
Name of Claimants Spouse(legal name)
ta. Driver's License i Identrfiaation I Other Number of Claimant's Spouse(last five digits) Issuing State
;social- Seturity_Ntarrrbe-of Cla- -----Cprr_ (--the digits).
(Applicable only if applicant's spouse does not have a social security number) _d _
nia
CONTRACT RECORDED
If Buying on Contract Fee Simple Owners Name
Recorders Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County __ .. Towns?--. _ Taxing District(city,town,township)
'Gibson ;026 Ft Branch _
Parcel Number legal Description Is the property in question:
0 Real Property 0 Annually Assessed Mc le 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
26-19-18-304-000.275-026
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is Claimant Vacating a Homestead?
0 Yes Q No
ignar --of Claims ' 6f-
4ii
,✓I hereby certify the above statements are true,correct,and complete. # �t, }—� � ��
-
Address of Contact(number and street,city,state,and ZIP code) Add t teed, any'umber and street;city. „ ate,rand ZIP code) -
;606 E Walnut St, Ft Branch, IN 47648 1' ` , .±
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately
Surrounding Residential Improvement (�)
Oilier Land (2)
Total Land(line I plus line 2) (3)` ,
•
)ra0-i4
\eS°N c004
°
•, - , ; erve as our successor Trustee .
1. Aliso• E. Fishe