HomeMy WebLinkAboutHomestead_Schmitt (2)ti t4 YEAR
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
x: STANDARD ( SUPPLEMENTAL DEDUCTION Hc10
•;,_- State Form 5473 (R21 17-25)
°fe Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side forfiling instructions.
NOTE Telephone, Social Security, drivers license, state identification and federal identification numbers are confidential under IC 6-1.1-12-37_
CERTIFICATION
1(We) certify that I (we) occupied as my (our) principal place of
residence or a ) buying the#W d ribelj rp�� rty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
apphca on is signed, O,V (date of signature)- I (We):
/
n (are) burying under recorded contract
RAMm"(-are)
entitled to occupy as a tenant -stockholder of a cooperative housing corporation-
1-1 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 arms the Property.
•• •
N e ta' ant
name)
( NYmb� oglavrpRI - I bi Elnarl A
,
Sod I SSaa � Numbbbrre���offf���Iaimant (last d+8&ts)
` y � �
Drivers LicensellVne_ I Identification'I Other Number oojf`Claimant (1 rive digits)
(Applicable ' appficard does not have a - security n tuber)
Is g Staff
- I
Name of Claimant's Spouse (regaf name)
Soda] Security Numberof Claimant's Spouse (last he digits) Drivers License I Idenb5cation IOther Number of Clainant's Spouse (fastrive dgds) �IswingState
(Apprxable only if applicants spouse does not have a social security number)
CONTRACT RECORDED
If Buying on Contmct, Fee Simple Owners Name
Recorders Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
, h�)
C ty T ban I
reel N
esc*ton. i•
� I j 4 Is
th in question:
• Is-- • d VJS •
S 1l
Real Properly ❑ Amuaffy Assessed Mobile Home (IC 6-1-1-7)
Illany 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
S
Claimant Vacating a Homestead?
C T -p on',
o ❑ Yes GI
Si "ailm
I hereby certify the above statements are true, totted, and complete.
04
A gfas��oMgct (n ryber ao t a stV'ateZIP a '
(j S
Vacated Hornestead,A any (number an street, city, slate, and ZIP code)
ASSESSOR USE ONLY
1 VALUE
HOMESTEAD VALUE
NONRESIDENTIAL
Land Not Exceeding One (1) Acre immediately
(1)
Surrounding Residemiallimprovement
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),
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)
STANDARDDEDUCTION ALL
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 $48,00q in 2026, S40,0o0- in 2027, $30,000, in 2028. $20,000;
in 2029. $10,000; and beginning with the 2030 assessment date
and for each assessmert date thereafter, $0-
$
Nohidthstanding any other provision, the sum ofthe deductions provided in IC 6-1.142 to a
mobde home that is not assessed as real properly or to a manufactured home that is not
assessed as real property may not exceed one-haff (f/2) of the assessed value of the mobde
home or manufactured home.
Signature of Auditor
Date Signed (month, day, year)
DISTRIBUTION: Original -County Auditor, File -Stamped Copy -Taxpayer
Page 1 of 3