HomeMy WebLinkAboutHomestead_MaggardCLAIM FOR HOMESTEAD PROPERTY TAX
c STANDARD / SUPPLEMENTAL DEDUCTION FORM vEAR
State Fort 5473 (R21 / 7-2) 1 HC10
Prescnlbed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for fiLng Instructions -
NOTE. Telephone, Social Security, drivels license, state identification and federal identification numbers are confidential under 1C 6-1.1-1237_
CERTIFICATION
I (We) certify that I (we) occupied as my (our) principal place of
residen or am (are) buying the following b&cribed real property under coat act for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date is application is signed, (date ofslgnature). I (We):
% 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.
❑P.m (are) the shareholder, partner, or member of the entity that awns Me property.
INFORMATION
Name of Claimant (legal Telephone Number of Claimant*-y Email Address
name)
(Z6-`�)c��S- [5
Security Number of Claimantille4t five
tification I Mier Number of Claimant (last five digits)
only Aapplicant does not have a sooelseaeity number)
Issuing State
1-1Opplimble
•r-!i
Name of Claimants Sparse (legal name)
Saul Security Ntmnbuof Claimants Spouse(lestfimdgits) Drkaes Liearoelidentification/O•is Numberof Cminanrs Spare(tastrme dyds) Issuing State
(4policeble only dappli enrs spouse does rot have a social secretly number)
CONTRACT••1 1
If Buying on Contract Fee Simple Owner's Name
Recorder's Office Where Contract is Retarded Record Number Page
PROPERTY1 •
/County ToialiiP Taxing District (sly: town, township)
Pared Number Legal Description
is the in question:
- �`i- o\ - Llo3- 1 I -
Real Property �Annualty Assessed Mobile Home (IC G 1_i-n
If any portiai of the residential structure or the Find not exceeding one (1) ace that immediately surrounds that structure is used to produce intone, describe the use and portion
of the property utilized to produce income.
PROPERTYOWNED ELSEWHERE ,
State Colt Township Is Claimant Vacating a Homeste ?
❑ yes No
hereby certify the above statements are true, correct, and complete.
Si _ ature of Claimant
Address of Contact (numberand street dry, state, and ZIP code)
p(D (Q i M�\\ s� i C�wet\s , \� 2) LlJ L-176(9) S
Address ofVaceLed Homestead, if ber and street aly, state, and ZIP code)
Land Not Exceed 'mg One (1) Acie Immediately(1)
Stlrroundin Res)d�tNab Im rtt
Other Land
(2)
Total Land (Line 1 plus Line 2)
(3)
Residential Improvements or
Dwelling
(4)
Annually Assessed Mobile /
Garage
(5)
Manufactured Home
Other Improvements
(6)
Total Improvements (line 4 through Line 6)
(7)
O
Total Value (Line 3 plus Line 7)
(8)
6
hereby certify the above is true, correct, and complete.
Signature of Assessor
/e
gn
iad (date, month, year)s'
A'
'
Verifying Action - Signature of Auditor Date Sra�
qV
STANDARDDEDUCTION ALL
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 in 2026. 540,000; 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.
Notwithalanding any otherprowsion, the sum of the deductforts provided in IC 6-f.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-haft(12) of the assessed value of the mobile
home ormanufachlred home.
Signature of Auditor
Date Signed (month, day, yead
1 i
DISTRIBUTION: Original- County Auditor, FlaStmmped Copy-`raxpayer
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