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HomeMy WebLinkAboutHomestead_Nolcox -4 CLAIM FOR HOMESTEAD PROPERTY TAX YEAR _• �i STANDARD / SUPPLEMENTAL DEDUCTION FORM r ) HC10 10111 ��' y Slate Form 5473(R21 17-25 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 confidential under IC 6-1.1-12-37. CERTIFICATION STATEMENT T e_ I(We) .ID - r certify that I (we)occupied as my(our)principal place of residence or am (ar ying the fol described real under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the 1 ( -1 date application Is signed Q_Z. (date of signature) I (We)• L`� n. ❑Am(are)buying under recorded contract � l+ 1 `wut ❑Ain(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 qualfiied personal residence trust. A-‘ il,i1J-4419 ❑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 rs Recorded Record Number Page PROPERTY DESCRIPTION County. Township Taxing District(city. town, township) C tit‘921n. i-Aotie...1---cfN t Parcel Number Legal Description Is the property in question 1El Real Property ErMnualty Assessed Mobile Home(IC 6-1.1-7) If any portion of the residential structure or the lard not exceeding one(1)acre that immediately surrounds that structure rs used to produce income,describe the use and portion of the property utilized to produce income CDU C 4,sor 03 —COO . otq • PROPERTY OWNED ELSEWHERE BY CLAIMANT State County Township Is Clamant Vacating a Homestead? ElYes V No — , Signature of Cla nt ,7,/ I hereby certify the above statements are true, correct. and complete. VV e. Address of Contact(number and street. city state. and ZIP code) Address o acated Homestead,if any(number street,city.state,and ZIP code) _ • _ 0. . 1 • b. 4.____ ...Atli • Lk-1 �C ASSESSOR USE ONLY ASSESSED VALUE I HOMESTEAD VALUE NON RESIDENTIAL VALUE Land Not Exceeding One(1)Acre knmediatety (1) Surrounding Residential Improvement Other Land (2) Total Land (Line 1 plus Line 2) (3) FILL !) Residential Improvements or Dwelling (4) Annually Assessed Mobile., -- Manufactured Home Garage (5) Other Improvements (6) MAR f) ���� Total Improvements (Line 4 through Line 6) (7) 1410 Total Value (Line 3 plus Line 7) (8) f �� +Signature of Assessor GIB i '.-.:: lin e 1 I hereby certify the above is true, correct, and complete. �N COON t4,4241/ Verr•r rig Acaon --Signature of Auai•:r Date Sign-ed 'dare fnor ll ear T©R STANDARD DEDUCTION ALLOWANCE For assessment dates after December 31, 2024: in 2025. 20 Pay 20_ 348.000. in 2026.S40,000: in 2027. S30,000: in 2028, S20,000. .n 2029 S10,000:and beginning with the 2030 assessment date i and for each assessment date thereafter. $0 Notwrtrstanding any other provision the sum of the deductions provide4 en IC 6-1 1-12 to a 1 $ 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)o/the assessed value of the motile some or manufactured home Signature of Auditor Date Signed (month day year) Ip_ OtSTRI UTION: Original --County Auditor File-Stamped Copy - Taxpayer Page 1iluf 3