HomeMy WebLinkAboutHomestead_Simpson (4)CLAIM FOR HOMESTEAD PROPERTY TAX
s' STANDARD ) SUPPLEMENTAL DEDUCTION
•s~ State Form 5473 (R21 17-25)
e:a Prescribed by the Deportment of local Government Finance
�� YEAR
HC10
INSTRUCTIONS: See reverse side for filing instructions.
NOTE Telephone, Social Security, driver's license, state identification and federal identification numbers are confidential under IC 6-1.1-12-37
CERTIFICATIONSTATEMENT
I (We) I Il 1.5 )CiG11 Cam. tJ,� certify that I (we) occupied as my (our) principal place of
residence or am (are) buVng the fono . g d9scribed real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date this I.cation is signed 5 O a LP (date ofsignature). I (We):
Am (are) buying under recorded contract -
Am (are) entitled to occupy as a tenant-stockhotderof a cooperative housing corporation.
Have a beneficial interest in the trust or the right to occupy the property under the terns of a qualified personal residence trust
[]Am (are) the shareholder, partner, or member of the entity that arras the property.
INFORMATION
Name of Claunant {legal name)
T Number of Clavnant Email Address
s
( Iz) ass -,9-7r r
dal Sewrtty Number of Claimant (last fire clipts)
Driver's License I Identification I Other Number of Claimant (last five digits)
(Applicable oMy if applicant does not bave a soda) security number)
Issuing State
Name of Cta'mrant's Spouse (legal lame)
0,oc- k-
Social Security Number of C wrimt's SOWse (last flue digits) Drivers license I Identification I Other Number of Claimants Spouse (tostfive digits) Issuing State
(Applicable only if applicant's spouse does not have a social security number)
CONTRACT•'1 •
if Buying on Contract, Fee Simple Owner's Name
Recorders Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
County Township Taxing District (city, town, township)
b �'l-�
Parcel Number Legal Description Isth
in .
�,� • I g- �� _ T tom( ' �C'�C r� e t
Real Property ❑ Annually Assessed Mobile Home (IC 6-1.1-7)
If any 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
State
Corahty
Township
Is Claimant Vacating a Homestead?
Yes No
true,
of Claunard.-
t,
hereby certify the above statements are correct, and complete.
Address of Coned (number and sbeet city, state, and ZIP code)
of Vacated Homestead, if any (number and slsftf cit)4 state, and ZIP code)
M -5
q-7
ASSESSOR USE ONLY ASSESSED VALUE
HOMESTEADVALUE
NONRESIDENTIAL VALUE
Land Not Exceeding One (1) Acre bnVa1eIy (1)
Sta7oundin Residentiallin ovement
Other Land
(2)
Total Land (Line 1 plus line 2)
(3)
TT
Residential Improvements or
Dwelling
(4)
Annually Assessed Mobile I
Manufactured Home
Garage
(5)
Other Improvements
(6)
MAY
Total Improvements (Line 4 through Line 6)
(7)
2
Total Value (Line 3 plus Line 7)
(8)
Signature of Assessor
b44e Sign (O;e, morgh
I hereby certify the above is true, correct, and complete.
�'. ft i 2✓
Verifying Action -Signature of Auditor
e . mtlMhllyd E-
STANDARD DEDUCTION •
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 $48,000;in 2026, $40,000; in 2027,$30,000;in2028,$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 6-1.1-12 to a
mobile home that is not assessed as real property or to a manufactured home that is not
assessed as tea) property may not exceed ore -half (112) of the assessed value of the mobile
home or manufactured home.
Sign Auditor 1
Date Signed ( day )'W
DISTRIBUTION: Original -County Auditor, File -Stamped Copy -Taxpayer (;age age 1 of 3