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CLAIM FOR HOMESTEAD PROPERTY TAX
r I STANDARD I SUPPLEMENTAL DEDUCTION FORM YEAR
State Form 5473(R19/1-23) HC10 Z„0 P/jW��.�
Prescribed by the Department of Local Government Finance ( r
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
I(We) ' (Q ihnv,f 4' la( If (`ir\ rtify that I(we)occupied as my(our)principal place of
residence or am(are)buying the following desc real property undei,..n,uaa rorw Homestead Property Tax Standard Deduction is hereby claimed on the
date th 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 tight 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.
s Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
Coynty Township Taxing District(city,town,township)
Parcel Number Legal Description I Is the i_>1..erty in question:
'f•A\n r- _ Efteal Property ❑Annually Assessed Mobile Home(IC 6-1.1-7) G"'"
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.
(D. fie-"aa- lt...Q.-\ - 00a . ` •-r OD -- 0 L..k .
PROPERTY OWNED ELSEWHERE BY CLAIMANT 1
Slate,County,and Township Is Claima acating a Homestead? r
Yes ❑No 0
Signature of Claimant `/' O
I hereby certify the above statements are true,correct,and complete. X f> / 4 flr f. Y r�'dge,El ,-Y C
Address of Contact(number and street,city,state nd ZIP'-.de) Address of Vacated Homes ead,if any(number and street,city,s-In and ZIP code
I a 91 ,)4Q♦ s1 ,,"b .'JMO I, S. Ike .t.. t ,. . . 4 1 1 C
ASSESSOR USE ONLY I ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL VALUE 0
Land Not Exceeding One(1)Acre Immediately (1) C
Surrounding Residential Improvement LVILOSC4
•
Other Land (2) _ , , ' '-1
Total Land(line 1 plus line 2) (3) '
Residential Improvements or Dwelling (4) jr:Lp '`
Annually Assessed Mobile/ 1
Manufactured Home Garage (5) 0N
Other Improvements (6) FEB �J
Total Improvements(Line 4 through Line 6) (7) - C3 ' �_
Total Value(Line 3 plus Line 7) (8) 4u2" e 1
Signature of Assessor Date Signed(date,month. � •
I hereby certify the above is true,correct,and complete. Gies A'(N
Verifying Action-Signature of Auditor .
Olr" WOW.,_ .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(1I2)of the assessed
�)valluueejjof the mobile home or manufactured home.
Signature of rytrdito .'$•---Y �.ra• • 1�_ ii.k. Date Signned(month,day,year)
DIST R IB UT NO N:Original-County Auditor,File-Stamped Copy-Taxpayer
Page 1 of
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1.A taxpayer can only receive the Over 65 Circuit Breaker Credit or the County Option Circuit.Indiana Code§6-1.1-49-6 specifies that a taxpayer cannot receive both.
2.The property tax cap is calculated separately for each class of property owned by the taxpayer.
3.Charges not subject to the property tax caps include property tax levies approved by voters through a referendum.When added to the base property tax cap amount for your
property,this creates the effective tax cap.For more information,see the back of this document. Information regarding the referendums proposed during the most recent
elections can be located online at:www.in.gov/dlgf/referendum-information.
4.If any circumstances have changed that would make you ineligible for a deduction that you have been granted per Table 5 of this lax bill,you must notify the county auditor.
If such a change in circumstances has occurred and you have not notified the county auditor,the deduction will be disallowed and you may be liable for taxes and penalties on
the amount deducted. 21969108000669604s4eeeeoo_EOM_B12E .`.. t
26-22-16-100-002.702-024 Montgomery,Robert 0/Cynthia J 12377 S 400 W 101,Cash Grain/General Farm Johnson White(Sectional) 1/4
i' tlt.'1ft, tKa....4-:'1442•7.4.' 't0.'''' It:. t'tts itt' wneMi,*11,' '''.4.--,r,,,-. ill45,1-411' :k'4,,' '''',491§4621141AMPOP!U''d,,1 4;,". ''''V A''' :10 T'kt!Tet4.4'5(' ,Al„.;At'AlleNg"'4,
Parcel Number Montgomery,Robert 0/Cynthia J Date Owner Doc ID Code Book/Page Adj Sale Price V11 07126122 23 P 24 RE::Dwell Elf Yr:1970 to 1990,
26-22-16-100-002.702-024 12377 S 400 VV Changed Ht of 2009 Bin 18 to 24
06/13/2024 Montgomery,Robed 0 2024-2048 ID 1
HAUBSTADT,IN 47639 ,.,.,„ „..,..„„ ,„.- , ,,-- , 09127118 19 P 20 RE::EFF YR 1952 TO 1970,
Local Parcel Number u in WUZZ Montgomery Robert 0 2022-3275 Co ' 202213275 $299,14Z ' REMOVED GRAIN BIN,ADDED OMP&CHANGED
. . , .,..
10/28/2016 Montgomery Family Fa 1641592 CT 1614592 $284,642 MSTP TO OMP
Tax ID: .. „
g. r.-,FALY4 41.lrAta:AF; 12/0612004 Montgomery Family Fa , • - WD 0418469 $15 000 I 11104116 17 P 18::532 AC FROM 26-22-16-100-
000.725-024 16-4592 10128116
PT N&PT SW 164 11 5,32 AC D-2 07/28/1986 .766 TO GIBSON COU WD /
Routing Number 01/0111900 CLIFFORD I MONTG - , WD / . I'
14-41
Property Class 101 L.,11 col oil gal I 111 11 Agricultural
Cash Grain/General Farm
-',,v-;'1:1 'Ot,411.4• 'CAPA9,143160,0n lgalnYttPeMrt.11,91a' Alva ulliPP.A$A-tu,,-494,9-VggP,,,t,, ,a's?"-
Year:2024 2024 Assessment Year 2024 2023 2022 2021' 2020
.. . ,
'''t.4401A/140 ,Also,7w!'-' WIP Reason For Change AA AA AA ' M M
County 02/2312024 As Of Date 01/0112024 01/01/2023 01/01/2022 ' 0110112021 01/01/2020
Gibson '
Indiana Cost Mod Valuation Method Indiana Cost Mod Indiana Cost Mod Indiana Cost Mod Indiana Cost Mod. Indiana Cost Mod
Township 1.0000 Equalization Factor 1.000o 1.0000 tom , ' tom 1.0000
JOHNSON TOWNSHIP - - - -
Notice Required - v V
- --
District 024 (Local 024) $22,500 Land $22,500 - $21,700 $20,900 $20,500 $20,500
JOHNSON TOWNSHIP $18,000 ,Land Res(1) $18,000 $18,000 $18,000,, $18,000' $18,000
School Corp 2765
$4,500 Land Non Res(2) , $4,500 $3,700 , ,$2,906 $2,500 - - $2,50,0,
SOUTH GIBSON $0 Land Non Res(3) $0 ' $0 $0 ,... . $0 $0
$303,800 Improvement $303,800 - '$299,200 $301,400 . . $267,000 $263,600
Neighborhood 940111-024 $211,200 Imp Res(1) $211,200 $176,800 $171,200 ' $152,800 $149,000
Johnson White(Sectional) ,$0 Imp Non Res(2) sp, so, so., so' $0
$92,600 Imp Non Res(3) $92,600 $122,400, $130,200 i $114,200 $114,600
Section/Plat $326,300 Total $326,300 $320,900 $322,300 $287,500- $284,100
16 l ''IP rtaffitta :kettV1
$229,200 Total Res(1) $229,200 $194,800, $189,200 - ' ' $170,800 $167,000 ‘, )0A2
Location Address(1) -$4 500, Total Non Res(2) $4,500 ,,$3 700 . $2 900 . $2,500 -$2,500 Calculated Acreage 5.32
12377 S 400 W $92,600 Total Non Res(3) $92,600 $122,400 $130,200 ',$114,200 $114,600 A t 1 F t', . ' '0
HAUBSTADT,IN 47639 .00'4?",k,i,.14,'''' ',..:*''',*:it......nirga.P.1 SlabitlIe Plal.e.§1.2.P4,1-11:,2.0'31,B41041-11,..eilli (lel :iv Developer Discount -
Land Pricing Soil Act Adj. Ext. Intl. Market Value Parcel Acreage,. 5.32
Zoning Metho
Type d ID Front. Size Factor Rate
Rate Value % Factor Cap I Cap 2 Cap 3
81 Legal Drain NV 0.00
,
9 A 0 1.0000 1.00 $18,000 $18,000 $18,000 0% 1,0000 100.00 0.00 0.00 $18,000 82 Public Roads NV' 0,31
Subdivision . . . . , . , . . . .
5 A UNB2 0 2.01 0.98 $2,280 $2,234 $4,490 '-60% 1.0000 0.00 100,00 • 0.00 $1,800 83 UT Towers NV 0.00
... , . . , . .
71 A UNB2 0 2.0000 0.98 $2,280 $2,234 $4,468 -40% 1,0000 0.00 100.00 0,00 $2,680 9 Homesite - ' 1.00
Lot . . _ , , . „
82 A AD 0 .31 0.85 $2,280 $1,938 $601 -100% 1,0000 0,00 100,00 0.00 $00
91192 Acres 0.00
Total Acres Farmland 4.01
_
Market Model Farmland Value $4,480
940111-024-Residential Measured Acreage 4.01
ItiKINOMS1?" Avg Farmland Value/Acre 1117
Topography Flood Hazard Value,of Farmland,-,-, $4,480'
Level - , . , . .
- . Classified Total $0
..
Public Utilities ERA Farm!Classifed Value $4,500
Water,Electricity '
E ..,
Homesite(s)Value $18,000
Streets or Roads TIF 91/92 Value $0
Unpaved E Supp.Page Land Value ,.
. ,
Neighborhood Life Cycle Stage CAP 1'Value $18 000
. , , . ,.
Static. CAP 2 Value $4,500
Printed Wednesday,February 12,2026 CAP 3 Value $0
Review Group 2023 Data Source External Only Collector Appraiser 07113/2022 Diane Total Value $22 500