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CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD / SUPPLEMENTAL DEDUCTION FORM
N C 10
•� r; State Form 5473(R21;7.25) L M �-
4
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)_ —...' 1= 151 E certify that I(we)occupied as my(our)principal place of
residence or am(are) • ing the frQ�wi d5 'lei•property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
•at- this application is signed, LL (date of signature) I (We)
111: own Am(are)buying under recorded contract
(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
Recorders Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County / ^ Township /0 ' Taxing Dish (city, town, township)
Parch Number Legal Descr bon I e propertyin question
eg
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 surrou s th structure is used to produce income.describe the use and portion
of the property utilized to produce income.
#2_ 6 ..._ fio . c) 2... .-_1401 , Doc:), , (2,0s---......_ (:),(:).
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County \ Township Is Claimant Vacating a H• .read?
0 ❑Yes a No
te‘
Si of Claim? W / /
I hereby certify the above statements are true, co ct, and complete.
AMP
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)
I VIZ) Tonnt G a— ► A
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 l plus Line 2) (3) FILED
Residential Improvements or Dwelling (4)
Annually Assessed Mobile I -- -- 4
Manufactured Horne Garage (5) 1( 414N
Other Improvements (6) DEC I 0 2025
Total Improvements(tine 4 through Line 6) (7)
Total Value(tine 3 plus tine 7) (8) �1
Signature of Assessors a Signed (date, month, year)
I hereby certify the above Is true,correct, and complete. GIBSON COUNTY AUDIT
Verifying Action-Signature of Auditor Date Signed(date, month. year)
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31,2024: in 2025,
20 Pay 20 S48.000, in 2026,$40,000, in 2027,S30,000, in 2028. S20.000.
in 2029, $10,000; and beginning with the 2030 assessment dale
and for each assessment date thereafter, S0. s
Notwithstanding any other provision. the sum of the deductions provided in IC 6-1 1-1 1 to a
mobile home that rs 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
home or manufactured home
Signature of Ai ...0 «� Date Signed( day, r)�
1 l •
DISTRIBUTION: Original-County Auditor,File-Stamped C(....9.0))
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