HomeMy WebLinkAboutHomestead_Wilzbacher (2)a` t CLAIM FOR HOMESTEAD PROPERTY TAX
a/� STANDARD / SUPPLEMENTAL DEDUCTION
-;;7 Stale Form 5473 (R21 / 7-25)
\\ Prescribed by the Department of Local Government Finance
FORM 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.
CERTIFICATION
t—
I (We) f / certify that I (we) occupied as my (our) principal place of
residence or am (are) buying the following 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
N e of Claimant (legal name)
Telephone of Claimant Email Address
I /Z to
Number
(819) (V�,2-051E?4
Social Security Number of Claimant (last five digits)
Driver's ucenre I identification I Other Number of Claimant (last five digits)
(Applicable only if applicant does not have a social security number)
Issuing State
25900
8O33g3l
Name of Claimant's Spouse (legal name)
Social Security Number of Claimant's Spouse (last rive digits) Drivers License Identification / Other Number of Claimants Spouse (last five digits Issuing Slate
(Applicable only if applicant's spouse does not have a social security number)
CONTRACTRECORDED
If Buying on Contract, Fee Simple Owners Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
County Township
l Sat ohn5
Taxin District (city, town, township)
iOh /2-5CVL
Parcel Number Legal Description Is
the property in question:
Up 1 } " 3 q ^ too ®/ - l C g ^ Q aq
B 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
Slate Countyn
I
Township Is Claimant Va a Homestead?
�uhnsa�.
.D14NA- C�lb5OrL
Yes ❑No
I hereby certify the above statements are true, correct, and complete.
Sign e of Clai�
r
Address of Contact (number and street, city state, and ZIP code)
A ress of Vaca[ed Homestea if any (number and st et, city, state, and ZIP code)
95
ASSESSOR USE ONLY
Land Not Exceeding One (1) Acre Immediately
ASSESSED VALUE
(1)
HOMESTEAD VALUE
NON RESIDENTIAL VALUE
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
Dale Signed (date. m nth ear
Verifying Action — Signature of Auditor
STANDARD DEDUCTION ALL
Date Signed (date, m th, ear)
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 $48000; in 2026. $40,000; in 2027, $30,000: in 2028, $20,000;
in 2629, $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 real property may not exceed one-half (1/2) of the assessed value of the mobile
home or manufactured home.
Si nature
ditor
Date Signed (m/onth, day, year)
dp�
L r"t
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DISTRIBUTION: Original — County Auditor, File -Stamped Copy — Taxpayer
Pa e1of3
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