Loading...
HomeMy WebLinkAboutHomestead_Webb',Reset Form CLAIM FOR HOMESTEAD PROPERTYTAX YEAR STANDARD ISUPPLEMENTAL DEDUCTION FORM 2026 State Form 5473 (R20112-24) Prescribed by the Department of Local Government Finance INSTRUCTIONS., See reverse side for filing instructions. NOTE: Telephone, Social Security, duvets license, state identification and federal identification numbers are confidential under IC 6-1.1-12-37 CERTIFICATION I (We) Webb, Lindsey M/Andrew D/Edward certify that I (we) occupied as my (our) principal place of residence or am (are) buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed, (date of signature). I (We): p 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. ❑ Am (are) the shareholder, partner, or member of the entity that owns the property. INFORMATION Name of Claimant (legal name) Telephone Number of Claimant EmafI Addr j Edward W W ie_ ,L (812) 205-5253 Social Security Number of Claimant (last five digits) Drivers License I Identificabon l Other Number of Claimant astfive digits Issuing State. o a (Applicable only if applicantdoego have cial sgcu� number) ©��_ ���� ' Name of Claimants Spouse (legal n1 1 Social Security Number of Claimant's Spouse (last five digits) Drivers License / Identification / Other Number of C nnanYs Spouse (last five gifs) Issuing State (Applicable only ifapplicanPs spouse does not have a social secudty numtier) CONTRACTRECORDED If Buying on Contract, Fee Simple Owners Name Recorder's Office Where Contract is Recorded Record Number Page PROPERTY DESCRIPTION County otr Township o// Taxing District (city, town; township) -{ �ST�g Parcel Number Legalbefficription Is the property In question; OR IN IS ❑Real 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 Irrtrrfdlately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce Income. 26-19-31-303-000.173-009 PROPERTY State, County, and Township Is Claimant Vacating a Homestead? ❑ Yes la No I hereby certify the above statements are true, correct, and complete. Sig e o Cl rnant Address of Contact (number and street, city, state, and ZIP code) Add ess of Vacated Homestead, If any (num state, and ZIP code) 110 S West St, Haub, IN - 47639 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 (tine 1 plus line 2) (3) Residential Improvements or Dwelling (4) Annually Assessed Mobile f Garage (5) Manufactured Home Other Improvements (6) PR 41 Total Improvements (Line 4 through Line 6) (7) Total Value (Line 3 plus Line 7) (8) Signature of Assessor BS+O d ( 1 month, year) 1 hereby certify the above is true, correct, and complete. N CQUN Verifying Acton -Signature of Auditor STANt%i/Deer) r=-r DEDUCTION ALL• Date Signed (a , �++77 20 Pay 20 Lesser of 60°I of the assessed value of the homestead or $48,000. 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 (112) of the assessed value of the mobile home or manufactured home. Signature of Auditor a r Date Signed (month, day, year)) IT aix_-1 \ C �� L c)d DISTRIBUTION: Original -County Auditor, File -Stamped . Copy -Taxpayer Page 1 of 3 &A