HomeMy WebLinkAboutHomestead_Banet (2)CLAIM FOR HOMESTEAD PROPERTY TAX
k STANDARD ! SUPPLEMENTAL DEDUCTION FORM YEaR
•�!/ State Form 5473 (R21 / 7-25)
HC10
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
4.2fd z 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
is application is signed, (date ofsignature). I (We):
Owtdale
n. ❑Am (are) buying under recorded contract.
❑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 temis 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 namaA
Telephone Number of Claimant Email
Address
Social Security Number of Claimant (last firm digits)
Dryver's License / I anti lion / [her Number of Claimant (last five digits)
(Applicable only if applicant does not have asocial security number)
Issuing State
' 1 S
Name of aimant's Spouse (lea ame)
9,xial Security Number of Claimant's Spouse (last five digits) efs License/ Iden4 cation! Other Number of Claimants Spouse ilastfivedgits) te
lissuingst
(Applicable only if applicant's spouse does not have a social security number)
CONTRACT••■ ■
I( Buying on Contract. Fee Simple Owners Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
Countyn
Township
Taxing Distract (city, town, township)
Parcel Number
Legal Description Is
4/ 1 H
the property in question:
7.4,z, 6�"jJ2 - .3
I Ef t'
al 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 immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTYOWNED ELSEWHERE BY CLAIMANT
State County
Township Is Claimant Vacating a Homest ?
❑ Yes No
Signature of Claimant_
I hereby certify the above statements are true, correct, and complete.
u
s�f jC, (n� ,er4nd4treet; ci(�state.� anCd � code) /
Address of Vacated Homestead. it any (number and street, city, s ate, and ZIP code)
d 5 J� �e t y 3 �X
USE ONLY
Land Not Exceeding One (1) Acre Immediately
ASSESSEDASSESSOR VALUE
(1)
HOMESTEAD VALUE
NON RESIDENTIAL
Surrounding Residential Improvement
Other Land
(2)
Total Land (Line 1 plus Line 2)
(3)
Residential Improvements or
Dwelling
(4)
Annually Assessed Mobile I
Garage
(5)
Manufactured Home
Other Improvements
(6)
?O
Total Improvements (Line 4 through Line 6)
(7)
Total Value (Line 3 plus Line 7)
(8)
s oAj
Signature of Assessor
ed . onth, year)
1 hereby certify the above is true, correct, and complete.
Q(,j t)/T
Verifying Action- Signature of Auditor
STANDARD DEDUCTION ALL
Date Sig ned(date. monf !year
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 $48,000; in 2026, $40,000: in 2027, $30,000; in 2028, $20,000;
in 2029. $10,000; and beginning with the 2030 assessment date
and for each assessment date thereafter, $0.
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 of Auditor 6L
Date Signed (month. day. year)
DISTRIBLIT6: Onglnal -County Auditor. File -Stamped Copy - Taxpayer U
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