Homestead_Garrett ,4. r�,'',am CLAIM FOR HOMESTEAD PROPERTY TAX
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rrilteiti STANDARD / SUPPLEMENTAL DEDUCTION FORM YStEAR
State Form 5473(R21 !7-25) HC 10 Z
Prescribed by the Department of Local Government Finance
INSTRUCTIONS.-See reverse side for filing instructions.
NOTE. Telephone, Social Security, driver's license, stale identification and federal identification numbers are confidential under IC 6-1.1-12-37.
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CERTIFICATION STATEMENT
I (We) d" {re_\' 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 th application is signed. ta - I-1 -- (date of signature). I(We)
wn ❑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
ElAm (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
Ci9inty Township Taxing Dis - rty,town,township) r r-1
Parcel Number
Legal
Description
ptio Is the property in question.
eel 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
' 1 `) - t -. Q10,4 _ cc-DO . eD3 -- (C .
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Clai ant Vacating a Homestead____?
Yes Igl<3
\)gaatur .o .i aril
I hereby certify the above statements are true,correct,and complete. /��/
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Address of Contact(number and street city,Stahl .nel 7/P code' — •Address f V cate Horn ad,rf an n mbar and street.y( city. state, and ZIP code)
•''11..s.7 • ar r C C k)3 ' .1 1 C° =' • 1---k-I • WNW
ASSESSO' 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) p., ILED
Residential Improvements or Dwelling (4)
Annually Assessed Mobile 1
Manufactured Home Garage (5)
Other Improvements (6)
Total Improvements (Line 4 through Line 6) (7) r I C 1 7 2025
Total Value (Line 3 plus Line 7) (8)
Signature of Assessor Date Signed(date. month,year
I hereby certify the above is true, correct, and complete. G18 " :
Verifying Action-Signature of Auditor T� CO!A� i n h year)
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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, S10.000; and beginning with the 2030 assessment date
and for each assessment date thereafter, $0. $
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 the mobile
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home or manufactured home.
Signature of Auditor Date Signed(month.
day year)
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D18TRI6 ION: Original-County Auditor. File-Stamped Copy - Taxpa0 jyer
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