HomeMy WebLinkAboutHomestead_Zheng (2)a:- CLAIM FOR HOMESTEAD PROPERTY TAX
IR °I STANDARD ( SUPPLEMENTAL DEDUCTION
FORM
YEAR
State Form 5473
HC70
(R2117-25)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
NOTE.- Telephone, Social Security, drivers license, state identification and federal idenh6cation numbersare confidential under IC 6-1.1-12-37
CERTIFICATION
1 (We) certify that I (we) occupied as my (our) principal place of
residence or am (a ) buk6 the following described roperly under contract forwhich a Homestead Property Tax Standard Deduction is hereby claimed on the
date this tion is signed, S' )( - 2.0 Z e,` (date of signature). 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 tight to occupy the property under the terns 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)
Teteprxm Number of Clamant Email Address
Social Se ' Number of Claimant (lastfive -)
DtiveYs License I Identification I Other Number of Claimant past five digits)
i»ruln9 Stele
(Apolkable only if applicant does not have a social security number)
Name of Claimant's Spouse (legal name)
Social Security Number of Claimant's Spouse psst Eve ems) Qiver's License l Identification 1 Odre Number of Claimants Spouse padfive dgts) Issuing State
(Apphceble onty d applicant's spouse does not have a social security numbed
CONTRACT•'/ 1
If Buying on Contract Fee Simple Owners Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
County Township Taxis District (city, town, IomuhiP)
I bs Pr2W) (I(�
Parcel Number Legal D%e7xdplion Is
the properly in question:
1
• %,� D2 �vr/ A/ ��
Properly ❑Annually Assessed Mobile Home (IC 6-1.1-7)
If any portion of the residential structure orthe land not exeeedmg 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 Courity
i c, n nip Is Claimant Vacating a Htxneilrad?
❑ Yes ❑ No
I hereby certify the above statements are true, correct, and complete.
Si a of Clai at
G
L�
Address of Contact (number and streetcr , state, and ZtP c�L'.}�'j
criMatided Ho any (number and street city, state, and ZIP code)
�y� .���Address
{'>ti tt/- I krr a--r e- 4/rL ' f K, l aj r
ASSESSOR USE ONLY
1VALUE
HOMESTEAD VALUE NONRESIDENTIAL
Land Not Vx ing One (1) Acre trnmed'ately
(1)
Surroundin ResidetltialImprovement
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)
(T)
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
Date Signed (date, month, year)
STANDARD 1 DEDUCTION ALL•
For assessment dates after December 31, 2024: in 200,
20 Pay 20 $48,000; in2026, 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.
$
Notwithstanding any other provision, the sum of the deductions provided in IC 6-1. f42 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 -Ralf (112) of the assessed value W the mobile
home or manufactured home.
Sign tore of Auditor
Date Signed ( , year)
5 �o
DISTRIBUTION: Original - Co r County Auditor, File -Stamped Copy -Taxes
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