HomeMy WebLinkAboutHomestead_Fleming (5) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
t STANDARD / SUPPLEMENTAL DEDUCTION FORM
! ;;• Stale Fon 5473(R21 I7-2S) lido 2025
n
•-• Pcesorb.d by the Deie irnent of Local Governrn.ni r ntnre
INS TRI/C TONS See reverse side for Ming mann:lona
NOTE- Telephone, Soul Secunty, drover s license, slate sden6/icatrcn and federal rdenhhcahon numbeua are confidential under IC 6-1 1-12-37
CERTIFICATION STATEMENT
I me) T)4er Brady Fleming � j'"�� cent/thal I(we)occupied as my(our)principal place d
residence or am(are)buying the following d9icnbe ream lvperty under contract for which a Homestead Property Tax Standard Deduction es hereby claimed on the
INS
s application es signed, 1! / T (date ofs>Qnature) I(We).
EI Own El Am(are)txryng under recorded contract
Am(are)entr eel to occupy as a tenant-stockholder of a coopperatne housing corporation
❑Ha'e a benetcral interest n the trust or the right to occupy the property under the terms of a qualified personal residence trust
❑Am(are)the sharetliolder,partner,or member of the entity that owns the property.
Ira Bury an Centred.Fee Sli pe Oa woes Warne
Rseceders ORca Where Contract Is Recorded Reoad Number Page
PROPERTY DESCRIPTION
County To rnst p Taxing District(city,town,township)
Gibson Johnson Haubstadt, Hatitetafik Johnson
Parcel Number Lager Descnpuon to the property in Question.
26-22-01.102-000.537-024 PT E W 1 4 11 1.292 AC E]Real Property 0Ar.nuaSy Assessed Movie Home(IC 6-1.1-7)
r any porton at true rssefer*at atru tuns or the tend not exceeding one(1)acre that minediatery surrounds that structure is used to produce income.descntie the use and paten
d tie moony utaud to prvOuce exams
n/a
PROPERTY OWNED ELSEWHERE BY CLAIMANT
Star I Canty Townsrvp Is Claimant Vacating a Homeslesd?
n/a n/a n/a ❑Yes QNo
•Signature of Clasmart
I hereby certify the above statements are true,correct,and complete
Address d Cartact(number and atreme( ay,shah, mud ZIP cods) Adck ins erVacated Honest t tiny(romper and street,city, state,and ZIP axle/
1177 W. State Road 68, Haubstadt, IN 47639
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON RESIDENTIAL VALUE
Lai id Nor F zci di tg One(1)Acae knrnt ely (1)
Surrounding Residential Improvement -
Other Laird (11
Total Land(Line 1 plus Line 2) (3) FE
•
Residential Improvements or Dwelling (4)
Annually Assessed Mobile f
Manufactured Borne Garage (5)
Other improvements (6) DEC 2 2
Total Improvements (tin.4 through Line 6) (7) ���J
Total Value(Line 3 plus Liri. 7) (8)
5iQrature of Mumma' ���SOA ode y$,d(date, month,yew)
I hereby certify the sibove is true,cornett.and complete. CO,W, • 7,-'I y� )
Vartery Acton-Si ne.s.of Auditor �Dees ?Wrrlirt,rear)
SI MUARU I)1 DUC I ION All OWANCE
Gar assessment dates Mar December 31,2021 n 2025,
S48,000.n 2026,$40.000. in 2021.$30.000,In 2028,S20,000.
in 2029,510.000,and beprwig wCi tie 2030 assessment pate
and bra each assessment date thereafter,SO
Hated tarp any other protium,g're auam cog the de loons provided art IC 6-1 1-12 to a S
motel►Aare that a not assessed as real property or to a manufactured home that is not
•monad as teal priverty trey not erased rare-/tall(f/2)of the assessed value oI the mot e
name or tromp Wired home
Signstx1i of Auditor Date slimed Inscrith.oar,rear)
Le)el t U -191 I
DISTRIBUTION: Original-County Audtor,Fite-5iarnped Copy-Tanperrer �y .�
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