HomeMy WebLinkAboutHomestead_Davis (2)CLAIM FOR HOMESTEAD PROPERTY TAX
11' STANDARD / SUPPLEMENTAL DEDUCTION
\ y; State Form 5473 (R21 17-25)
Prescribed by the Department of Local Government Finance
FORM YF�
HC10
INSTRUCTIONS: See reverse side for fling instructions.
NOTE Telephone, Social Security, drivers license, state identification and federal identification numbers are confidential under IC 64.1-12-37.
CERTIFICATIONa r
certify that I (we) occupied as my (our) principal place of
I (We) i
residence or am (are) buying the following described real ptopert f under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
this application is signed, 5' • 13 - 2 A � (date of signature). I (Wey
+�dat,e�
nrnyyn []Am (are) buying under recorded contract
[]Am (are) entitled to occupy as a tenant-stockhorder of a cooperative housing corporatan-
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.
INFORMA71ON
Name of Claimant name) Tr'-Dhone Number of Claimant Emaw Address
ago-ss�
Social Security Number of Claimant (last Eve digits)
Drivels License I Identification /Other Number of Claimant (cast five digits) issuing
(AppOcadfe only 8 apphcam does not have a social security number)
rf—oorjfl
State
,.,%
`�,-S,g4
Name of Ctaimanfs Spouse (legal name)
Social SecurityNumber of CI® naffs Spouse (kwEve digits) Drivers uce<ne i lderai cadcri l Outer Number nt Ctrsnarnt's Spouse (jastfiive digits) Issuing State
(Appr—ble only d applicants spouse does not have a social security numbed
CONTRACT••1 1
IT Buying on Contract, Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
County �^
Township Taxig Diafict (city, town�tow,.nshho)�`
Parcel Number Legal Description Is th property in question:
Parcelof r1 JM'Rear Property ❑nn Aualiy Assessed Mobile Home OC 57.1-7)
Iffaannyoportion of the residential structure or the laird not "ceeding�Co/ne (1) acre that immeduately 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 County Township Is Claimant Vacating a Homestead?
Yes
Sign of Cl ant
1 hereby certify the above statements are true, correct, and complete.
Address of Contact (number and sheet dry, state, ZIP code)
Ar
of Vacated Homestead, it any (number and sheet city, state, and ZIP rode)
Cad R
1p-AD
Land Not Exceeding One (1) Acre tnmediately (1)
77777
Staroxmding Residential lm ment
Other Land
(2)
Total Land (Line 1 plus Line 2)
(3)
Residential Improverlents or
Dwelling
(4)
Annually Assessed Mobile
Manufactured Home
Garage
(5)
Other Improvements
(6)
Total Improvements (Line 4 through Line 6)
m
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.
Date Signed (date, month, year)
Verifying Action —Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31, 2024: in 2025,
$48.000; in2026, $40,000; in 2027, $30,000; in2D28, S20,0DO;
20 Pay 20
in 2029, $10,000; and beginning with the 2030 assessment date
and for each assessment date thereafter, $0.
$
Notwithstanding any otherprovicion, the sum of the deductions provided in IC 6-1.1-12 to a
home that is not assessed as real property or to a manufactured home that is not
mobile
assessed as neat property may not exceed one-half (112) of the assessed value of the mobile
home or manufactun?d home.
Da�Sig-n.ed�dday,ar)
Sigma or A dtor
-l3 aoa
DISTRIBUTION: Original - County Auditor, Fite -Stamped Copy-TaMWero
Page 1 of 3