HomeMy WebLinkAboutHomestead_Powers (3)CLAIM FOR HOMESTEAD PROPERTY TAX
YEAR
STANDARD 1 SUPPLEMENTAL DEDUCTION �HOROM
State Form 5473 (R21 17-25)
Prescribed by the Deparbnrant of Local Government Penance
INSTRUCTIONS: See reverse side for filing instructions.
NOTE Telephone, Social Secu*, driver's license, state identification and federal identification numbers are confidential underlC 6-1.1-12-37.
CERTIFICATIONENT
/V (,--ram
(yye) E-d t f'�i�.V.c._ t i YL'�e �-:� - certify that I (tie) occupied as my (our) principal place of
residence or am (are) burying the following described reil property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application is signed, (date of signature). I (We):
❑awn. [:]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 alms the property.
INFORMATION
Name of Claimant (legal name)
Telephone Number of Claimant Email
Address
Social Seraaily Nader of Claimant gattrye daft)
Ddver's License I Identification I Other Number of Claimant (cast five drafts)
(App6caMe�ar�doe;not have a social security number)
issuing state ,
Name of,C ' s Spame (lea)d� naval ��)f
- �t N07 'tom- CAW
Social Security Ni mberef amimanrs Spouse (last live dp7s) �d �� Number(las numb)) �lssuingstate
spouse does not have a ss Spoal use
CONTRACT RECORDED
If buying on Contract, Fee Simple Owner's Name
Recorders Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
Taxmg District {city tom township)
Parcel Number Legal Daxrrytiorr Is
the property in question:
Real Property ❑ Annually Assessed Mobile Home (IC 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 � uted to produce income-
1prop"
6
PROPERTY OWNED,
State County
Township Is Claimant Vacating a Homestead?
❑ yes ❑ No
I hereby certify the above statements are true, correct, and complete
Signature of Claimant
_._f�
�ef Contact (number and7�street; dty, / ZIP (-- 7`— /I
)�—+V� � tut (Il.l
Addrcas of Vacated Homestead, if nwnanOe berses city, state, aril ZIP aide)
•• •
1 VALUE
HOMESTEADVALUE•RESIDENTIALVALUE
Land Not Exceeding One (1) Acre Unmediately
(1)
Slaroundin Residential improvement
Ir
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)
(7)
Total Value (Line 3 plus Line 7)
(8)
3IBSON COUNTY AUDITOR
I hereby certify the above is true, correct, and complete.
Signature of Assessor
Date Signed (date, month, year)
Verifying Action — Signature of Auditor
Date Signed (date, month, year)
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 548.000; in 2026, $40,000, in 2027, $30,000; m 2028, S20,um0;
in 2029, $10,000: and beginning with the 2030 assessment date
and for each assessment date thereafter, $O_
$
Nottvithstandng any other provison, the sum otthe 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 one-half (112) of the assessed value of the mobile
homeiarmanufacturedhome-
sr a a ( t� IUl. kwi'J
Datel SJ t/ay,
/C� /,-, }�}
DISTRIBUTION: Original— County Auditor, File -Stamped Copy —T U
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