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1i` CLAIM FOR HOMESTEAD PROPERTY TAX FORS STANDARD ! SUPPLEMENTAL DEDUCTION YEAR
`.•s ,/ State Form 5473(R21 /7-25) 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) ,, E y--,r-N& + .i._ V.- ksCN k certify that I (we)occupied as my(our)principal place of
residence or am(are)buying the following desoAed real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application is signed, IQ - ,--/ -„. „, , (date of signature). I(We):
Pt n ❑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.
❑Ain (are)the shareholder, partner,or member of the entity that owns the property
CLAIMANT'S INFORMATION
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Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County T hip Taxi!) District(city,town,township)
e::77: k‘12'90`C\ e-'e -t_Sr-- - e-N"k -_,.(---
Parcel Number Legal Description Is the p paerty in question
Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7)
If any portion of the residential structure or the land riot exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the use and potion~
of the property utilized to produce income
U ~ 1 — 4Qo.". . E 7 _ o --k
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Va a Homestead?
' C tTh. i\PS401\ eS El No
Signature of Claitnan
I hereby certify the above statements are true, correct, and complete. / )( Awe's' 41.414 .----
Address of Contact(number end street, city state,and ZIP code A ress of Vacat . estead, if any(number and street city.state, and ZIP code)
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ASSESSOR U E ONLY ASSESSED VALUE I HOMESTEAD VALUE NON RESIDENTIAL VALUE
02.Land Not Exceeding One(1)Acre Immediately (1) 1
Surrounding Residential Improvement
Other Land (2) C ..9ii\J .
Total Land (Line 1 plus Line 2) (3)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile/
Manufactured Home Garage (5) ,-* it
Other Improvements (8) l
Total Improvements (Line 4 through Line 6) (7) 4°--e"---461L---
Total Value (Line 3 plus Line 7) (8)
Signature of Assessor Date19 date. month,year)
I hereby certify the above is true, correct,and complete. 64,s
Verifying __
Signature of Auditor
Action- 4/C Date Signed d e. ar)
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31.2024: in 2025, -/,,1., ,
20 Pay 20 $48.000. in 2026,$40,000: in 2027, $30.000. in 2028.$20.000. OA?
in 2029, $10,000: 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(1r2)of the assessed value of the mobile
home or manufactured home
Signature of Auditor Date Signed(month, day year)
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DISTRIBUT Original-County Auditor.File-Stamped Copy-Taxpayer
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