HomeMy WebLinkAboutHomestead_Breen (2) q! CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
r. ; STANDARD / SUPPLEMENTAL DEDUCTION FORM .) f
`r f ate FormSt73 tR2t 7-�5, NC10
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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
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I (We) - V ` .'Y _ - _ certify that I(we)occupied as my (our)principal place of
residence • am(are buying • .11)rçd.Sc2e< aJ property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
at• is application is signedA (date of signature) I (We)
Ira e n ❑rArn(are)buying under recorded contract
IIII (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 Owners Name
Recorder s Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County ^ Township 0 ‘'S Taxing Dis.• cry. •ion.to hw `IO
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Parcel NumberLegal Description I •pa in question
1 III Real Property ❑Annually Assessed Mobile Home(IC 6--1 1-7)
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If any portion of the residential structure or the land not exceeding one (1)acre that immediately surroun• th structure is used to produce income, describe the use and portion
of the property utilized to produce income
( L � o — Casa8- ) ,1
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County Township Is Claimant Vacating a Home t ?
❑Yes XI o
Signature of Claimant
I hereby certify the above statements are true, correct, and complete. 14C,tinVIA D 6)012/2,0
Address of Contact(number and street. city sja;eland ZIP. Address of Vacated Homestead.if any (number and street. city stale e ZIP code)
ASSESSOR USE Ur`'LY ASSESSED VALUE HOMESTEAD VALUE NON RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately (1)
Surrounding Residential knprovement
Other Land (2)
FitailEril_
Total Land (Line I plus Line 2) (3)
.
Residential Improvements or Dwelling (4)
Annually Assessed Mobile I
Manufactured Home Garage (5)
Other Improvements (6) �AR 3
1 2026
Total Improvements (Line 4 through Line 6) (7)
4-- b.- >41.26 r...../z e e e e n#14 t 5 It D
Total Value (Line 3 plus Line 7) (8) Q
Signature of Assessor • Co , - ate month, year)
I hereby certify the above is true,correct,and complete. N-P.)/q O/�
Verifying Action--Signature of Auditor Date gned( month. year)
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31, 2024 in 2025.
Pay $48.000. in 2026. $40,000. in 2027.$30.000, in 2028 S20.000.
in 2029. $10,000, 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 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
Signature„2f Auditor C Date Signed(month day year)
\./ti -01-- - : -a k -Q U .
DISTRIB TION: Anginal -County Auditor �,le-Stamped Copy -Taxpayer
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