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HomeMy WebLinkAboutHomestead_Whitehouse (2) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR tif $' STANDARD / SUPPLEMENTAL DEDUCTION FORM r, State Form 5473(R21 17-25) HC10 2 �! -- 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 confidentia nr=r 6- 1-1 - CERTIFICATION STATEMENT I (We)- / _ #477 i certify that I (we)occupied as my(our)principal place of residence or am(are)buying the f bedyee1 property under contract for which a Homestead Property Tax Standard De�T,epR•rQ�n-is y c'�( on the date this application is signed, �") (date of signature) I (We): �J I, l� L�JL,J 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 resider I. ❑Am(are)the shareholder,partner,or member of the entity that owns the property = . , . ilia CONTRACT RECORDED If Buying on Contract.Fee Simple Owners Name Recorders Office Where Contract is Recorded Record Number Page PROPERTY DESCRIPTION County Township oo Taxing Di ict(city,town,township) CA`Son Parcel Number,...) Legal Description Is the property in question !/`�- 'v'_ , (eat Property ❑Annually Assessed Mobile Home(IC b-1.1-7) If any portion of the residential structure or the land no exceeding one(11 acre that immediately surrounds that structure is used to produce income,describe the use and por on of the property utilized to produce income ) O a(pr / A - i3 3 W " 7 DI -. !/ 7 PROPERTY OWNED ELSEWHERE BY CLAIMANT State County Township Is Claimant Vacating a Homestead? ❑Yes ©No Sgnaty�e of Claimant I hereby certify the above statements are true, correct, and complete. // Address of Contact(number and sheet. city. state,and ZIP code) Address of Vacated Homestead,if any(number and street, city. state.and ZIP code) X 1f �r� .5-t R & 4' 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) Residential Improvements or Dwelling (4) Annually Assessed Mobile l Manufactured Home Garage (5) Other Improvements (6) Total Improvements (Line 4 through Line 6) (7) 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. Verifying 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,$30,000; In 2028,S20.000. in 2029, S10,000, and beginning with the 2030 assessment date and for each assessment date thereafter. $0 C\.'")\\ Notwithstanding any other provision, the sum of the deductions provided in IC 6-1.1-12 to e 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 4 Signature of Au to A.) Date Signed(month. day year) Z DISTRIBUTION: Original-County Auditor. File-Stamped Copy - Taxpayer Page 1 of 3