HomeMy WebLinkAboutHomestead_Kays (2)aryri' CLAIM FOR HOMESTEAD PROPERTY TAX vEaR
STANDARD / SUPPLEMENTAL DEDUCTION HOROM
State Farm 5473 (R21 17-25)
Prescr3red by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for fifing instructions.
NOTE Telephone, Social Security, drivers license, state idenbficabon and federal identification numbers are conhden6al under IC 6-1.1-12-37
CERTIFICATIONSTATEMENT
I (We) S tertify that I (we) occupied as my (our) principal place of
residence or am (are) buying the d under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
-�ieaLQMxrty
date this application is signed, (date ofsignature). I (Way
190vn. [:]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 fight to occupy the property tinder the terms of a qualified personal residence trust.
❑Am (are) the shareholder, partner, or member of the entity that owns the property.
INFORMATION
Nam e_of Claimant pegaf name
TgLeptione Number of Claimant
Erriarl Address
Social Number of Claimant st )
LYiver's Lncsnae / I n f Other Number of Clnanant past five digits)
(Applicabfe only B aPWicarrt does not be" sewrly number)
Issuing State
Name of Claimant's Spouse pegs) name)
Social Seemly Number of Claimants Spouse past five digft) I]rvles ucense 1 wersbcabon 1 Other Number of as menrs Space past ram dgits) Issuin State
(Applx:able o* ifapplieacirs spouse does not have a social security number)
• OIN 11 a 1
If Buying on Contract, Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
C
rp Taxi g District (city, town, township)
Parcel Number
Legal Deset"on Is
the pmpWy in question:
al Properly ❑ 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 struehrre is used to produce income, describe the use and portion
of the property utilized to produceincome.
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PROPERTYOWNED ELSEWHERE BY CLAIMANT
State County
Township to Claimant Vacating a Homestead?
❑ Yes No
1 hereby certify the above statements are true, cared, and complete.
Si i Claimant
Address of Cadxt (r mberarxt s dty, state, and ZIP code)
v Homestead, if arWjn=ber and street 0, state, and Zip code)
ASSESSOR USE ONLY
1VALUE
HOMESTEADVALUE
NONRESIDENTIAL
Land Nat V_as'mg One (1) Acre Immecilately
(1)
Stmamd'm Residentiallmprovernent
Other Land
(2)
Total Land (Line 1 plus Line 2)
(3)
Residential Improvements or
Dwelling
(4)
Annually Assessed Mobile I
Garage
(5)
G
Manufactured Home
Other Improvements
(6)
Total Improvements (Line 4 through Line 6)
(7)
O�
Total Value (Line 3 plus Line 7)
(8)
I hereby certify the above is true, correct, and complete.
Signature of Assessor G�
Date Signed (date, month, yeah
Verifying Action —Signature of Auditor
Date Signed (date, month, year)
STANDARD DEDUCTION ALLOWANCE
For assessment dates after December 31, 2024: in 2025,
20 Pay 20 348.000; in 2026, $40,000; in 2027, $30,000; in 2028, $20,000;
in 2029, 510,000; and beginning with the 2030 assessment date
and for each assessment date thereafter, $0_
$
Notwithstanding any otherpramon, Me sum of the deductions provided in IC &I _f-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 0/2) of the assessed value of the mobile
home or manufactured hone.
Signature of Auditor
Date Signed (mouth, day, year)
i�' l"
DISTRIBUTION:Original— County Auditor, FILStamped Copy —Taxpayer ® Pagel of)3
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