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HomeMy WebLinkAboutHomestead_Hudnall" I CLAIM FOR HOMESTEAD PROPERTY TAX n t� STANDARD / SUPPLEMENTAL DEDUCTION State Form 5473 (R21 17-25) e,s -- Prescribed by the Department of Local Government Finance YEAR FORM HC10 C)Ao INSTRUCTIONS: See reverse side for filing instructions. NOTE: Telephone, Social Security, drivers license, state identification and federal identification numbers are confidential under IC 6-1.1-12-37. CERTIFICATION I (We) certify that I (we) occupied as my (our) principal place of reside ce or am ( re) buying the kollowing described real 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): ©Own. ❑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 of Claimant (legal name) �:-'A'-\nOM Telephone Number of Claimant Email ml'; > Loa ,I-o ��y� Address tv: ocial Security Number of Claimant (Vost five digits) Driver's License Identification Other Number of Claimant (last five digits) Issuing State (Applicable only if applicant does not have a social security number) II GG Name of Claimant's Spouse (legal name) C \ 'rvc. W L, t\ \ Social Security Num r of Claimants Spouse (last five digits) Drivers License I Identification / Other Number of Claimant's Spouse (last five digits) Issuing State (Applicable only if applicant's spouse does not have a social se number) CONTRACT L1550� RECORDED If Buying on Contract, Fee Simple Owners Name Recorders Office Where Contract is Recorded Record Number Page PROPERTYDESCRIPTION County Township (city, town, township) ^ G1� 1 \ C� NC�J1YJ ,tIQ 77rmct Parcel Number Legal Description I Is the ropeny in question: _ 3), L L6 — 0 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 State County Township Is Claimant Vacating a Homestead? ❑Yes QNo I hereby certify the above statements are true, correct, and complete. �S.ignature of Claimant (, )_ RAddddlr)esssoo'ffVVaoate+diHomestead, Fcoode) Address of Contact (number and street, city, state, and ZIP code) if any (number and clly, state, and ZIP 15� K)r a ucs� c;c-, ?C,nc�on `l rat, Ro 70 ASSESSOR USE ONLY Land Not Exceeding One (1) Acre Immediately ASSESSED VALUE HOMESTEAD VALUE (1) NON RESIDENTIAL VALLI SurroundingResidential Improvement 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) I hereby certify the above is true, correct, and complete. Signature of Assessor D@t4 S ed month, year) GG((�� Verifying Action — Signature of Auditor es Date Signed (date, month, year) A , O'V C STANDARD DEDUCTION ALL For assessment dates after December 31, 2024: In 2025, (/ 20 Pay 20 $48.000: in 2026, $40,000: in 2027, $30,000; in 2028, $20,000; in 2029, $10,000; and beginning with the 2030 assessment date • 7 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 real property may not exceed one-half (112) of the assessed value of the mobile home or manufactured home. Signature of Auditor r Date Signed (month, day, year) C DISTRIBUTION: Original— County Auditor, File -Stamped Copy —Taxpayer ( Page 1 of 3