HomeMy WebLinkAboutHomestead_Robb (2) W _—___,
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
- • 15' STANDARD / SUPPLEMENTAL DEDUCTION FORM
.1 State Form 5473(R21 17-25) HC10 ' `/
"-� 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) '0 Q \r'1 i=zialc ... . 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 tt ia.applrcation is signed. t .....1VD• (date of signature). I(We):
[ 6wn. ❑Am(are)buying under recorded contract.
n 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.
Recorders Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District(city,town,township)
0
lN_)Ck. \(1 Cse) -.-\\---.)i\ ,
Parch Number Legal Description Is the pr rtY in question•
eat 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
L — — -Cl -- COO . Lo ( 317 .
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Vacating a Homestead
Yes Lia rye
Sicg a Clai
I hereby certify the above statements are true, correct, and complete.
Address of Contact(number and street. city. state,and ZIP ode) v i l Address of Vacated Horn stead.i any(number and street,city, stale, and ZIP code)
— S1 O _ • . ' 1 • kA �. 4 . O .
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 1 plus Line 2) (3)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile I LED,
Manufactured Home Garage (5)
Other Improvements (6) QE(,n �j
Total Improvements (Line 4 through Line 6) (7) I `� 202kj
Total Value(Une 3 plus Line 7) (8) //7 '
herebySignature of Assessor G/gs � igned te. month.year
I certify the above is true, correct, and complete. O � CO /Y
Verifying Acton-Signature of Auditor O�Date 3i 'j/��year)
O✓I
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 arty 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
home or manufactured home
+Signature of Auditor ` Date Signed(month,day.) ar)
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DISTRIBUT : Onginal-County Auditor File-Stamped Copy -Taxpayer
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