HomeMy WebLinkAboutHomestead_Smith (5)CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
QCState Farm 5473 (R21 17-25)
FORM
HC10
YEAR
2 c)26
Prescribed by the Department of Local 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
1 (We) C.0 certify that I (we) occupied as my (our) principal place of
residence or am (are) buying the folio g described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
date this application is signed, =j I e (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)
Telephone Number of Claimant
Email Address
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Social Security Number of Claimant (last five digits)
Drivers License l Identification I Other Number of Claimant (last five digits)
Issuing State
(Applicable only if applicant does not have a social security number)
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Name of Claimant's Spouse (legal name)
Social Security Number of Claimant's Spouse (last five digits) Drivel's License I Identification I Other Number of Claimant's Spouse (last five digits) Issuing State
(Applicable only if applicant's spouse does not have a social security number)
CONTRACT•-•
If Buying on Contract, Fee Simple Owners Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County
To nship
Taxing District (city, town, township)
G1bsG^
Parcel Number
egal Description
s the pro erty in question:
eat 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 Homestea
❑Yes No
I hereby certify the above statements are true, correct, and complete.
Signature ofClai ant
Address of Contact (number and street, city, state, and ZIP cot,, Address of Vacated Homestead, if any (number `a-nryd street,,cc'it7y, state. and ZIP code)
_�
!v1 - 1 1 1
ASSESSORONLY • VALUE HOMESTEAD VALUE
Ragg
Land Not. Exceeding One (1) Acre Immediately (1)
Surroundin Residential Improvement
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)
01
O
a
Total Improvements (Line 4 through Line 6)
(7)
Total Value (Line 3 plus Line 7)
(8)
Gee
I hereby certify the above is true, correct, and complete.
Signature of Assessor CO
t (date,. month, year)
Verifying Action- Signature of Auditor
STANDARD DEDUCTION
Date Sign Igonth, year)
�`f
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 Si ned (Jonth, day, year)
DISTRIBU ION: Original -County Auditor, File -Stamped Copy -Taxpayer
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