Homestead_Fithian II V
g�•Ir41 CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
\_. •pit; STANDARD / SUPPLEMENTAL DEDUCTION FORM
.�1 State Form 5473(R21 r 7-25) HC10
'41" � Prescribed by the Department of Local Government Finar,,_e
INSTRUCTIONS:See reverse side for filing instructions.
NOTE: Telephone, Social Security, driver's license, stale identification and federal identification numbers are confidential under IC 64.1-12-37.
CERTIFICATION STATEMENT
IF
n � ' certifythat I(we)occupied as my(our)(We) • 1 l — P ( )principal place of
residence or am(are) • i•• the following described[eal property under contract for which a Homestead Properly Tax Standard Deduction is hereby claimed on the
date t�h' application is signed n�- (date of signature) I (W e)
(�i Uwn- ❑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 Owner's Name
Recorders Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
Cotr T^riship Taxi Wstnct(dty, n,township)
i bap,c> . 40)-i.(,e_e___21roi-N . _
Parcel Number Legal Description Is the property in question
al 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,descnbe the use and portion
of the property utilized to produce income.
Q g . N
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County ' .,, s Is Claimant Vacating a Homestead? ,�?
�t' s ❑No 1
Signature imant
I hereby certify the above statements are true, correct, and complete. i
Address of Contact(number a . street. city, state.and ZIP 1. Address of Vaca orneste .if any(number and street,city. sta and ZIP f
0 e , d i .- - io ay . E rc,erc .Si.
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE NON RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential knprovement
Other Land (2)
Total Land(Line I plus Line 2) (3) G
Residential Improvements or Dwelling (4) ✓`
Annually Assessed Mobile I
Manufactured Home Garage (5) -FIL 61
Other Improvements (6) U,_
Total Improvements (Line 4 through Line 6) (7) D
Total Value (Line 3 plus Line 7) (8) JAN` 2 t cfrtip ,
Signature of Assessor Date Signed (diD26eh,year)
I hereby certify the above is true, correct, and complete. `i
Verifying Action-Signature of Auditor G/8SO to yried (da , month year)
177-&
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31, 2024: in 2025, • 0
20 Pay 20 S48.000. in 2026, $40,000, in 2027, $30,000: in 2028 S20,000.
in 2029. 510,000.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 rs 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 pt..Auddor Date Signed (month. day. year)
L{N ..� c O (1 . o • 1 -- a1- �� Q .
DISTRIBUTION: Onginal-County Auditor,File-Stamped Copy Taxpayer
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