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HomeMy WebLinkAboutHomestead_Berry (2)r�4,, CLAIM FOR HOMESTEAD PROPERTY TAX E STANDARD I SUPPLEMENTAL DEDUCTION State Forth 5473 (R21 17-25) Prescribed by the Department of Local Government Finance • •' pis._. 1 INSTRUC77ONS. See reverse side for filing Instructions. NOTE Telephone, Social Security, driver's license, state identification and federal identification numbers are confidential under IG 6-1.1-12-37 CERTIFICATION I (we) certify that 1(we) occupied as my (our) principal place of residence or am (are) buying the folbw' d cribed r rtY under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application is signed n —'� Q (date ofsi�na[ureJ- I (We) - []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 owns the property. INFORMATION Name Claimant (regal name) elepiwre Number of ClaimantEmail Address -rof s Social Security Number of Ciaimarit (last five dgits) Drivers Licerroe I identification I Other Number or Claimant past five digits) (Applicable on y �- ��••a1KAant snot have a social security number) issuing state I , Name of Claimants Spous pegsf name) Social Security Numberof Claimants Spouse past five dgiits) Rrvers License I Ideribficabon I OtlnerNumber of Claimants Spouse (lostfrve ) lissuingState, (ApprKabfe only d apptacant's spouse does not have a social security number) CONTPACTRECORDED If Buying on Contract, Fee Simple Owners Name Recorders Office Where Contract is Recorded Record Number Page PROPERTYDESCRIPTION Cp�Taxing District (city, tow, township) ` 7TLA \ Parcel Number Legal Description Is the property in question: Real Property ❑ Annually Assessed Molile Home (IC 6-1A-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. Doc.�a�-©ate PROPERTY OWNED ELSEWHERE BY CLAIMANT State Canty Township Is Cisimant Vacating a Homesteader-'° o Yes �t certfy the above statements are true, tarred, and complete. Sign of Claimant t Address of Codact (number and street city, state, and Z1P ) Address of Vacated Homestead, if any (number and street c state, and LP code) ASSESSOR_ip�!1 VALUE HOMESTEADVALUE• 1 Land Not Exceeding One (1) Acre Immediately (1) SurroundingResidential ovement Other Land (2) Total Land (Line 1 plus Line 2) (3) Residential Improvements or Dwelling (4) Annually Assessed Mobile I Manufactured Home Garage (5) Other Improvements (6) Total Improvements (Line 4 through Line 6) (7) Total Value (Line 3 plus line 7) (8) O V C G Signature of Assessor ^'KI. Signed [date, month, year) I hereby certify the above is true, correct, and complete. Verifying Action —Signature of Auditor Date gned (date, month, year) STANDARD DEDUCTION ALL For assessment dates alter December 31, 2024: in 2025, 20 Pay 20 $48,000; in 2026, 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, SO - Notwithstanding any other provision, fie sum of the deductions provided in IC 6-1.1-12 to a Notwithstanding mobile home that is not assessed as real property or to a manufacturedhome that is not assessed as real property may not exceed one-half (IM of the assessed value of the mobile home or manufactured home. Signature of Auditor Q. Date Signed (month, day, year) DISTRIBUTION: Original — Courtly Auditor, File -Stamped Copy —Taxpayer Pa 1 of 3