HomeMy WebLinkAboutHomestead_Miller (3)CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
State Forth 5473 (R2117-25)
\\ Presented by the Department of Local Garemment Fnan ce
FORM YEAR
HC10
INSTRUCTIONS: See reverse side for filing instructions.
NOTE Teleohone, Social Security, drivers license, state identification and federal identification numbers are confidential under IC &1.1-1237.
CERTIFICATION
n
I (We) D'K R I n Ira i Li TEE certify that I (we) occupied as my (our) principal place of
residence or am (are) buying the following des bed r�eal pyroperty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
yz
date this application is signed, 9^�-c
(date ofsignature),I(We):
LOwn. ❑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 ovens the property.
•• •
Name of Claimant (bgal name)
Telephone Number of Claimant BrnaB
Aadreaa
D�lfr�nJ. ►1�;fler
(g1 P�-b5o�
Social Security Number of Claimant (last five digits/
River's license I Identification I Other Number of Claimant (last five cigls)
(4pprs;atle only B epplica�nt does not ham a social secunfy nambe4
Issuing State
// 7
- "/�/
Name of Cisimint's Spouse (legs! nsme)
Social Security Number of Claimants Spouse(lestfivedlg2s) RiversUowmlldentficabmlOaferNumbudCbwnanfs Spouse(hWfivecrgfs) Issuing State
(Applicable only if applicant's spouse does not have a social security number)
CONTRACT• / 1
If Buying on Contract, Fee Simple Oxmera Nave
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
County
G)bspn
T ip
W� t kip
Taxn Diafict (ary, town, townshiA
��v�^ wns
Parcel Number
Legal Description Is
th property in question:
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Heal Property ❑ Annually Assessed Mobile Home OC 6-1.1-7)
If any portion of the residential structure orthe 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.
OWNEDPkQPERFY ELSEWHERE BY CLAIMANT
State Canty
Township 1s Claimant Vacating a tlanniead7
❑Yes I eFlo
are true, correct, andSignature
hereby the complete-
Claimant
on�
certify above statements
Address of Contact er (numband street city, state, and ZIP code)
Tint
Adtiresa of V Homestead, ff any (number and street, city, state, and VP code)
Z�60 E- �l /�L flzle�p),
I ,(mi
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ASSESSOR USE ONLY ASSESSEDVALUE
HOMESTEAD VALUE
NON RESIDENTIAL IE
Land Not Exaed'mg One Are (1=ediabety (1)
Staramdin Residential Ira)
Other Land
(2)
Total Land (Line 1 plus Line 2)
(3)
Residential Improvements or
Dwelling
(4)
Annually A tsesaed Mobile I
Manufatxrrred Home
Garage
(5)
Other Improvements
(6)
rT
Total Improvements (Line 4 through Line 6)
9)
Total Value (Line 3 plus Line 7)
(8)
Signature of Assessor
Date Signed (date, month, year)
hereby certify the above is true, correct, and complete.
Verifying Action - Signature of Auditor or
Date Signed (date, month, year)
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 5413•13M, in 2026, $40.000; in 2027, $30,000; in 2028, $20,000;
in 2029. $10,000; and beginning wi0n the 2030 assessment date
and for each assessment date thereafter, SO_
$
Notwithstanding any otherprovision, 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 oche -half (142) W the assessed value of the mobile
home or manufactured home.
Signatu of Auditor
Date Signed (month, day, yew
.5- 47- Z.0 Z
DISTRIBUTION: Original-Comty Auditor,F-i StamPed CcPy-Taxpayer
1 3
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