HomeMy WebLinkAboutHomestead_Farris (2)CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD I SUPPLEMENTAL DEDUCTION
�/ State Form 5473 (R21 / 7-25)
�:�.- Prescribed by the Department of Local Government Finance
FORM YF�R
HC10
INSTRUCTIONS: See reverse side for riling instructions.
NOTE., Telephone, Social Security, driver's license, state identification and federal identification numbers are confidential under IC 6-1.1-12-37,
CERTIFICATION
I (We) 1 o-Le- certify that I (we) occupied as my (our) principal place of
residence or am (are) buying the foll9prig 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):
'<Own. ❑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 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 Qegal name)
Telephone Number of Claimant Email
Address
lehael ► u �s Farrfs
(f 1a) 385- &Z,65
Social Security Number of C imant (last five digits)
/�
unver's icense enti lionOther Number of Ulaim-nt(last a digits)
(Applicable only ifapplicant does not have a social security number)
Issuing Stale
•/��
/ z/
0-
Name of Claimant's Spouse Qegal name)
Social Security Number of Claimant's Spouse (last five digits)IDnver'sLicenseld-ttfication- / Ott- Number Claimants Spouse (last a dfgds) Issuing State
(Applicable only if applicant's spouse does not have a social security number)
CONTRACT•'•
If Buying an Contract, Fee Simple Owners Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY
Cnunty
Townshi
Taxing District (city, town, township)
/
t�/n/�
pxzwele_ &1?
1 J M
/ rC%n
Parcel Number
Legal Description Is
the property in question:
A6-12. %7- /Q AI - DOO
fOI • CQ9
Real Property Ej 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
Slate County
Township
Is Claimant Vacating a Homestead?
❑ yes E'lo -
1
Signature of Claimant �
I hereby certify the above statements are true, correct, and complete.
Address of Contact (number and street, city. s , and ZIP code)
��u7(�
Address or Vacated Ho Zest ad, if any num r a I.city, state, and ZI
1;0A.r` CI-110 St 2104_9 fe?
D
ASSESSOR USE ONLY
Land Not FFxceeding One (1) Acre Immediatety
• VALUE III&OHNIORI
(1)
Surroundin Residentiallm vemerlt
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)
Total Improvements (Line 4 through Line 6)
(7)
Total Value (Line 3 plus Line 7)
(8)
Signature of Assessor
Date Signed (date, month, year
1 hereby certify the above is true, correct, and complete.
Verifyin Action - Signature of Auditor
Date Signed (date, month, year)
yr/- /'7 J/('
STANDARD DEDUCTION ALL
Ilte
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 $48.GOO: 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.
WSi ature of Auditor
1 C,kC c GIs
Date Signed (month, day. year)
4
DISTRIBUTION: Onginal - County Auditor, File -Stamped Copy-Taxfer
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