Homestead_Hedinger CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
(1•.!iiiii;:!
' STANDARD / SUPPLEMENTAL DEDUCTION FORM sa a�f� State Form 5473(R21 !7-25) HC10
Prescnbed 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.i-12-37.
, �^ n ` CERTIFICATION STATEMENT
I (We) E.C. l J�_J 4 4 • IN certify that I(we)occupied as my(our)principal place of
residence or am(are)buying the following described real property under contract for a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application is signed, I 4 (date of signature). I (We)
Di<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.
❑Am (are)the shareholder. partner, or member of the entity that owns the property.
If Buying on Contract. Fee Simple Owners Name
Recorders Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County T nship Taxing District(city.town,township)
ParceTNumber Legal Description Is the pro inquestion.
e'9 P 1 P
NIeat 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 Me use and portion
of the property utilized to produce income
DLO CD (DO -. Col • �� �- ��-� .
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Vacating a Homestead
❑Yes
Signature of Claimant
I hereby certify the above statements are true, correct, and complete. ,��ig1.460,
Address of Contact(number and street.city. state,and ZIP code) Address of Vacated Homesteads f any(number nd street, city state, and ZiP code)
•
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)
_p1-4
Residential Improvements or Dwelling (4)
Annually Assessed Mobile i
Manufactured Home Garage (5) * 1)
Other Improvements (6) J nc
Total Improvements (Line 4 through Line 6) (7) ✓ U
415
Total Value(Line 3 plus Line 7) (8) ��
Signature of Assessor
Date Signed (date. mo+r(h, ///
I hereby certify the above is true,correct,end complete. ��/C,O `'
Verifying Action-Signature of Audrtor �v0 (date, month, year)
0Q�
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, S20.600.
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 1C 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, Cr year)
elo
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DISTRIBUTION: Onginal-County Auditor File-Stamped Copy -Taxpayer •
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