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HomeMy WebLinkAboutHomestead_Gray (2)CLAIM FOR HOMESTEAD PROPERTY TAX STANDARD / SUPPLEMENTAL DEDUCTION FORM YEAR Stale Form 5473 (R21 /7-25) HC10 Prescribed by the Department of Loral Government Finance 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. CERTIFICATION r I (We) T aF certify that I (we) occupied as my (our) principal place of residence or am (are) buyin6 the following described real property nder contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date,this application is signed, ( ate 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. ❑ An, (are) the shareholder, partner, or member of the entity that owns the property. INFORMATION Name of Claimant (legal name) Telephone Number of Claimant Email Address F CcCxo Isla ) CaCa Iq - Co � 7 � Social Security Number of Claimant (la t five digits) Driver's L cense I Identification I Other Number of Claimant (last five digits) (Applicable only if applicant does not have a social security number) Issuing State � a(a1'7 11-1 7s� s Name of Claimant's Spouse (legal name) T G �- CL Social Security Number of Claimant's Spouse (I st five digits) Drivers License Identification / Other Number o Claimant's Spouse (last five digits Issuing State (Applicable only if applicant's spouse does not have a social security number) v7 a CONTRACT••. . If Buying on Contract, Fee Simple Owners Name Recorder's Office Where Contract is Recorded Record Number Page PROPERTYDESCRIPTION County Township Taxing District (city, town, township) ^ \� •� r-�I l 5 V lc\ Parcel Number Legal Description Is the��rbperty in question: �eal L _ • � — VfJ'�© ©R 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 Horn a ? ❑Yes No I hereby certify the above statements are true, correct, and complete. Signature of.Clal t _ '� f_. Address of Contact (number and street, city, state, and ZIP code) AYd ess of Vacated om ead, if any (number and scree city, state, and,ode) ASSESSOR USE ONLY Land Not Exceeding One (1) Acre immediately (1) HOMESTEAD VALUE NON RESIDENTIAL VALUE Surroundin ResidentialImprovement 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) 20 Total Value (Line 3 plus Line 7) (8) I hereby certify the above is true, correct, and complete. Signature of Assessor C7/ 8 at�e%Signed (d e, men year) `th, o ' Verifying Action - Signature of Auditor blaill i % ar) �1 D/T pR STANDARD DEDUCTION ALLOWANCE 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 and for each assessment dale 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 Date Signed month, da , year) x 0(0 l I DISTRIBUTION: Original - County Auditor, File -Stamped Copy - Taxpayer Page 1 of 3