HomeMy WebLinkAboutHomestead_Lee (2) i,° , CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
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STANDARD / SUPPLEMENTAL DEDUCTION FORM
�r State Form 5473(R21 /7-25) HC10
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. •
NOTE. Telephone. Social Security, drrver's license, state identification and federal identification numbers are confidential under IC 6-1.1-12-37.
CERTIFICATION STATEMENT
I (We) OD " * certify that I (we)occupied as my(our)principal place of
residence or am(are)buying the f described real property under contract for which a Homestead Properly Tax Standard Deduction is hereby claimed on the
date this application is signed, •• Q`p_ (date of signature). I (We):
Lin ❑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.
CONTRACT RECORDED
If Buying on Contract. Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
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PROPERTY DESCRIPTION
my Township` Taxing District(city,town,to shr
0) rCd1OVA— _________7 ()
Parcel Number Legal Descrrp n Is the props in question
sal 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 the use and portion
of the properly utilized to produce income
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PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Vacating a Homestead?
CEYes_______) L 1if"0
Signature of
I hereby certify the above statements are true, correct, and complete.
Address of Contact(number and street. city tate. and ZIP code) Address of Vacal omestead,if any(number and street, city. stale and ZIP code)
• - �1 ! •- �• •1 ��� 416
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE i 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 I
Manufactured Home Garage •(5)
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Other Improvements (6) (, e.�-) , C[1
Total Improvements (Line 4 through Line 6) (7) L,�(]
Total Value(Line 3 plus Line 7) (8) `
Signature of Assessor Date Signed(date. OQl
I hereby certify the above is true, correct, and complete. r vU�
Verifying Action-Signature of Auditor �y
f
r .SO4 inth, year)
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, $20.000.
in 2029, $10,000; and beginning with the 2030 assessment date
and for each assessment date thereafter, S0
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
Signal IB of Auditor Date Signed(month, day year)
� - \...31.-D -1� __-0LD •
DISTRU : Onginal-County Auditor, File-Stamped Copy -Taxpayer -
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