Homestead_Richardson (21) 4. .. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
a' �; STANDARD / SUPPLEMENTAL DEDUCTION - FORM
' 1114111; State Form 5473(R21 7-25) ` " HC10 �Q 2
- Prescribed by the Department of Local Government Finance cipic(.,
INSTRUCTIONS:See reverse side for filing instructions. CA
NOTE: Telephone, Social Security, driver's license, state identification and fedepd identification numbers are confidential under IC 6-1.1-12-37.
CERTIFICATION STATEMENT
I (We) 0 l L�j Milk __ / �`,� certify that I (we)occupied as my(our)principal place of
residence or am(are)buying the following described real • under co act for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application is signed, dat signature). I (We)
❑Own. ❑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
❑Am (are)the shareholder. partner,or member of the entity that owns the property
tf Buying on Contract.Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County _Townshl y -
Parcel
Taxing District ( ,,tow nship)
cSO (\ \,..)2---S . .1\
Parcel Number CA Legal Description a property in question
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 its t t structure is used to produce income,describe the use and portion
of the property utilized to produce income
)_, g ) 1
s 1 oz . O -
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County � O � Township Is Cla a,�R Vacating a ad?
. O �g i No
Si e of Claimant
I hereby certify the above statements are true, correct, and complete. {�{/
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)
1 23 Sasy1R1 . L. ion _ _
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE VON RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre knmediately (1)
Surrounding Residential Improvement
Other Land (2)
Total Land (Line 1 plus Line 2) (3)
Residential Improvements or Dwelling (4) FIL F, D
Annually Assessed Mobile 1 -
Manufactured Home Garage (5)
`
Other Improvements (6) DEC 3 0 2025
Total Improvements (Line i through Line 6) (7)
Total Value (Line 3 plus Line 7) (8)
Signature of Assessor t� ,1/�Q 'l]ate�Signed(date. month,year)
I hereby certify the above Is true, correct,and complete. GIBSON COUN1'v AUDITOR
Venfying 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. S40,000. in 2027. S30.000. in 2028. $20.000:
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(1/2)of the assessed value of the mobile
home or manufactured home
Signature of Auditor Date Si ed( tin, da .year)
MILIA', 0 2� 2 )
DISTRIBUTION: Onginal-County Auditor, File-Stamped Copy- Taxpayer
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