Homestead_Estate r4t CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
I
x• ' :, STANDARD ! SUPPLEMENTAL DEDUCTION H FORMo 2025
� ,. State Form 5473(R21/7-25)
'•'• • Prescrbed by the Depaibrent of Local Government Finance
)NSTRUCTIONS See reverse side far filing rnst►ucbons.
NOTE. Telephone, Social Security, driver's!►tense, stale rdenbficalron and federal rdentsticatton numbers are confidential under lC 6-1 1-12-37
r CERTIFICATION STATEMENI
lititc'ncce am'(a y Fes. sir u Th d ar prc y 7 r•r.�tw nfeokreti..r..r wIg,'"
t I kSufCAat!r>? r t1, t)rrver carUat.t M wrlw-!,Q ItlVfRR,�sft?r-S tlf1Q ios#wimit4rIva AkicIoRcog N*A on the
date this application is signed, December 22, 2025_ (date of signature). I(We):
Q Own. [11Am(are)buying under recorded contract.
AM ;are)entitled to occupy as a tenant stockholder of a cooperatrve housing coporation.
Have a beneficial interest in the trust or the nghl lo occupy the property under the terms of a qualrfied personal residence trust
■ I . • I- r- -I•.r- •- I- •. i1' I•' • I- .1, • tact II- trrr:rt"
H Buying on Contract,Fee Smite Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing 0rstrlct fray,town, township) r
Gibson Montgomery Montgomery Township U
Parcel Number Legal Descriptor Is the property in question:
26-17-20-200-004.986-021 PT W SW NE 20 3 12 2.00 AC D-20I171 Real Property Annually Assessed Mobile Hone(IC 6-1.1-7)
7)any portion of the residential structure or the land not exceeding one(1)acre that immediately*wounds that structure s used to produce income,deacr,be the use and porton
of the property utilized to produce!ncome
PROPERLY OWNED ELSEWHERE 13Y 1:I AIMANT
State County Township Is Claimant Vacating a Homestead'
None None None Oyes ONo
Signatu of Clar n
I hereby certify the above statements are true, correct, and complete. Jetb'ey 15 Jackson Field&Main Bank Wealth Mngt
Address of Contact(number and street,city, slate, and ZIP Code) ,J iomestead, it any(number and street city sate,and ZIP code)
140 N. Main Street, Henderson, KY 42420 None
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I NON RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential trrxovement
Other Land (2)
Total Land (Line 1 plus Line 2) (3)
Residential Improvements or Dwelling (4)
Annually Assessed Mobile
Manufactured Horne Garage (5)
Other Improvements (6) }' (r 0
Total Improvements(Line 4 through Line 6) (7) �y
Total Value (t ine3 plus Line 7) (8) GI T� l
g �
Signature of Assessor "A/�Q'Da 1 ne gym, year)
I hereby certify the above is true, correct, and complete. U/V> V
verity rig Acton- Signature or Auditor Data S• 0 ar)
A
STANDARD DEDUCTION ALLOWANCE
For assessment dates a er December 31, 14: in 2025,
20 Pay 20_ $48,000; in2026,$40,000;in 2027, S30.000, in 2028. $20,000.
in 2029,S10,000;and beginning with the 2030 assessment date
and for each assessment date thereafter,W.
Notwr hstandrng any other provrsion, the sum of the deductions provided in IC 6-1-1-12 to a
moOrle home that rs not assessed as real property or to a manufactured home that is not
assessed as real property may not exceed one-hat(112)of the assessed value of the mobrie
home or manufactured home.
Signature of Auditor _ Date Signed(month, day, year)
Lliqr,a_i_ - 1 - - ZLQ
DISTRIBUTION: Original- County Auditor, File-Stamped Copy-Taxpayer
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