HomeMy WebLinkAboutHomestead_Huebnerirn°, YEAR
CLAIM FOR HOMESTEAD PROPERTY TAX STANDARD / SUPPLEMENTAL DEDUCTION FORM
HC10
•�.`/ State Form 5473 (R21 / 7-25)
Prescribed by the Department of Local Govemmenl 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
I (We)vc >tni r '�° (: certify that I (we) occupied as my (our) principal place of
residence or am (are) kkAg the fo wing deacrib d eat perty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
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date th" application is signed, 0 , (date of signature). I (We):
Own. [:]Ann (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)
Te one Number of Claimant Email
Address
r•-t 1
3
Social Security Number of laiman ast fie digits)
Driver's License entificalion Other Number or Claimant (last five digits)
Issuing Slate
(Applicable only if applicant does not have a social security number)
Name of Claimant's Spouse (legal name)
Social Security Number of Clai Spouse (last five digits) Drivers License I Identification / Other Number of Claimant's Spouse (last five digits) I Issuing State
--7 (Applicable only if applicant's spouse does not have a social security number)
GLA
CONTRACT•
If Buying on Contract, Fee Simple Owners Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTYDESCRIPTION
County 1^
Township
Taxing Distriicctt (ciitty,,ttown,
y^A
,ttownship)
Parcel Number
Legal Description Is
the property in question:
.R6al 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, descdbe the use and portion
of the property utilized to prrodduuce Income.
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PROPERTY CA
OWNED
State County
Township Is Claimant Vacating a Homestead?
❑Yes ],No
Signature of Claimant
I hereby certify the above statements are true, correct, and complete.
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Address of Contact (number and street, city, state. and ZIP co )
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Address of Vacate Homestead, if any (number and street, city, st te, and ZIP code)
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Land Not aKceeding One (1) Acre Immediately
(1)
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)
vL/ 2 2U
Total Value (Line 3 plus Line 7)
(8)
Signature of Assessor
Date Signed (date. month, year)
I hereby certify the above is true, correct, and complete./�S
Verifying Action — Signature of Auditor NqU
ed(date, month, year)
STANDARD DEDUCTION ALLOWANCE
!TO/�
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)
DISTRIBLMON: Original — County Auditor, File -Stamped Copy —Taxpayer
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