HomeMy WebLinkAboutHomestead_Goliat CLAIM FOR HOMESTEAD PROPERTY TAX
' T YEAR
( • , STANDARD 1 SUPPLEMENTAL DEDUCTION I FORM
i \y // Sate Form 5473(R21 r' 7-25) HC10
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for fling 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
I (We) _ t !•l��s►-■1iril� T_ai • • �1;� . ` certify that I (we)occupied as my (our)principal place of
residence or - (are)buying the I. owing described real pr..: t u .er contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
this application is signed. (date of signature) I (We)
Own ❑Am(are)buying under recorded contract
❑ •• (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
Recorders Of ice Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District(city, toll torm,�tip)
C)2-g
Parcel Number. Legal Description I tP property in question
Real Property ❑Annually Assessed Mobile Home(IC 6-1.1-7)
tf any portion of the residential structure or the land not exceeding one(1 I acre that immediately surround h structure is used to produce income, describe the use and portion
of the property utilized to produce income
1(..) ___ \-2_____ \
z 02_ .(D, o.__\ . 6 6 _ 0223
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Vacating a • e - ,.7
❑Yes tr,No
Signature of Claimant
I hereby certify the above statements are true, correct. and complete.
----53- --., ,,,•-•12,00 ..,,,,112.t..............._ G.„...--1.—.....-----. i
Address of Contact(number and street. city state and ZIP code) 1 &dress or Vacated Homestead if a�-v r �„-.ti., er and street. city. state and ZIP code)
. -- Q -jo - 1^- L -IL
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)
Annually Assessed Mobile 1
Manufactured Home , Garage (5)
•
Other Improvements (6)
Total Improvements (Line 4 through Line 6) (7) tiAR 3 1
Total Value (Line 3 plus Line 7) (8)
Signature of Assessor Date Signed :date month year.)
I hereby certify the above is true, correct, and complete. (fJLL�iILQGC W. .1/Y�
VenfyuigAction -SignatureorAuditor GIBSON COUNTY AUIITOR: cage mcetr Year)
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31,2024 in 2025.
20 Pay 20 _ $48.000. in 2026.S40.000. in 2027. S30.000, in 2028. S20.000
in 2029, S10.000: and beginning with the 2030 assessment date
and for each assessment date thereafter, SO
$
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 of A rot Dat m th day year}
fI►rs ._ Zo2� A )
DISTRIBUTION: Original-County Auditor Fite-Stamped axpayer
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