HomeMy WebLinkAboutHomestead_Bradley (2) -`_ 4. CLAIM FOR HOMESTEAD PROPERTY TAX/4 YEAR
( • c STANDARD I SUPPLEMENTAL DEDUCTION FORM
\•) Stale Form 5473(R21 /7-25) HC10 rib •
r Prescribed by the Department of Local Government Finance
INSTRUCTIONS See reverse side for filing instructions
NOTE: Telephone, Social Security, driver's license, stale identification and federal identification numbers are confidential under iC 6-1.1-12-37.
CERTIFICATION STATEMENT
I (We)_ etTEVAltrartcertify that I(we)occupied as my(our)principal place of
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residence or am(are)buying t l ri =-. real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
g g (dbat this application is signed,
ate of signature) I (We)
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 residence trust
ElAm (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
County Township Taxing District(city.town, township)_
�'o r 02-4 . rah rho 7\ .
Parcel Number Legal Description I th roperty in question
Real Property Ei 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 surroun th t structure is used to produce income,describe the use and portion
of the property utilized to produce income
QC- 2- - - 1OO -üO k9 ° k .
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township. Is Clai n acating a Homestead'
Yes El No
1 S . of Claimant
I hereby certify the above statements are true, correct. and complete. '/ ,
Address of Contact (number and street. city slate.and ZIP code) ` A..ress of Vacated H estead. if any(number and street. Cs tate. 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)
Residential Improvements or Dwelling (4) 1 14-at
Annually Assessed Mobile i
Manufactured Home Garage (5)
Other Improvements (6) 028
Total Improvements (Line 4 through Line 6) (7) G/Q
' f-i4414?-e-.----41-117:e' 1,
Total Value (Line 3 plus Line 7) (8) CG `�
Signature of Assessor � q' ` Date Signed(date. month.year)
I hereby certify the above Is true, correct, and complete. V0/7-
Verifying Acton-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.S30.000: in 2028 S20.000
in 2029. S10,000, and beginning wrth the 2030 assessment date
and for each assessment date thereafter, $0
Notwithstanding any other provision the sum of the deductions provided in IC 6-7 7-12 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(112)of the assessed value of the mobile
home or manufactured home
Signatuo of Auditor Date Signed m ri (2C)
Urhlh k/r)
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DISTRIBUTION: Original -County Auditor i ped Copy - Taxpayer
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