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HomeMy WebLinkAboutHomestead_WhitehouseCLAIM FOR HOMESTEAD PROPERTY TAX '. i� STANDARD / SUPPLEMENTAL DEDUCTION ! State Form 5473 (R21 17-25) -% 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 certify that I (we) occupied as my (our) principal place of residence or am (are) buying the following d�cribed real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the Sal "I ^ I date this plication is signed, ,� (date ofsignature). (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 of Claimant (legal nam1e)'� T'eellrylee�phone Number of �Claimant Email Address octal Security Number of Claimant (last five digits) cu ever s cense Identification ther umber of Claimant (last five digits) (Applicable only if applicant does not have a social security number) Issuing Slate Name of Claimant's Spouse (legal name) Social Security Number of Claimant's Spouse (last five digits) Drivers License I Identification! Other umber of Claimant's Spouse (Iasi free digits) Issuing Stale (Applicable only if applicant's spouse does not have a social security number) CONTRACT• ■ ■ If Buying on Contract, Fee Simple Owner's Name Recorder's Office Where Contract is Recorded Record Number Page PROPERTY DESCRIPTION Township � Taxing District (city, town, township) Parcel Number Legal Description Is the property in question: ❑ 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�.p-�rord�u income, describe the use and portion of the property utilized to produce Income. /�� .� �••-�' ,�-� ^� ©_�-. t r l PROPERTYOWNED ELSEWHERE BY CLAIMANT State County Township Is Claimant Vacatifig.a Homestead? es ❑ No I hereby certify the above statements are true, correct, and complete. of Claimant / Address of Contact (number and street, city, state, and ZIP code) - tAdd-.-ssAofVaczitedHomeste, if n[y ((numberand stre city. state, and code) 0 Li . s�o Willik ASSESSOR USE ONLY ASSESSED VALUE Land Not Exceeding One (1) Acre Immediately (1) HOMESTEAD VALUE NON RESiOENTIAI VAI I IM SurroundingResidential Improvement 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) 3 Total Improvements (Line 4 through Line 6) (7) Total Value (Line 3 plus Line 7) (8) G & I hereby certify the above Is true, correct, and complete. Signature of Assessor CO N S' te, month, year) j I, Verifying Action -Signature of Auditor STANDARD DEDUCTION ALL Date Signed Welf, W, year) 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 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 Date Signed (month, day, year) v DISTRIBU ON: Original - County Auditor, File -Stamped Copy -Taxpayer Page 1 l I