HomeMy WebLinkAboutHomestead_ArmstrongCLAIM FOR HOMESTEAD PROPERTY TAX FORM
R21 ! 7.25) YEAR
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STANDARD i SUPPLEMENTAL DEDUCTION ORHC1Stale Form 5473 (
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
certify that I (we) occupied as my (our) principal place of
residence or am (are) buying the following described real pro erty under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the
this application Is signed, (date ofsignature). I (We):
�date/
pQOwn. []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 Qegal nerve)
Telephone Number of Clalmant Email Address
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Social Security Number of Claimant (last We digits)
Diners License, identification I Other Number of Claimant(last Ova dig fs
(Applicable only ff applicant does not have a social security number)
Issuing State
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Name of Clalment's Spouse (legal name)
Social Security Number of Ciatmanrs Spouse (lest five digits) Drivers se Identification /Other Number manrs Spouse ast rive d ts) Issuing Slate
(Applicable only if applicant's spouse does not have a sorJal security number)
CONTRACTRECORDED
If Buying on Contract, Fee Simple Owners Name
Recorders Office Where Contract is Recorded
PROPERTYDESCRIPTION
Record Number Page
County
Township Taxing Dlstricl (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 produce Income• describe the use and portion
of the properly utilized to produce Income.
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PROPERTY OWNED ELSEWHERE BY CLAIMANT
Slate
Township Is Clalmant Vaceting a Homestead?
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�""T, OU'��.` \ IYJ Tes ❑No
I hereby certify the above statements are true, correct, and complete.
Signature r lalment
r
Address of Confect (number and street, city, state. and ZIP code)
A ss of Vacated Homestead, i an (number and street city, state, arld ZIP code)
503 &), ?C\\oN-\Q\f7(i
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ASSESSOR USE ONLY ASSESSED VALUE
Land Not Exceeding One (1) Acre Immediately (1)
HOMESTEAD VALUE
I NON RESIDENTIAL VALUE
Surroundin Residential Improvement
Other Land
(2)
Total Land (Line 1 plus Line 2)
(3)
Residential Improvements or
Dwelling
(4)
Annually Assessed Mobile 1
Garage
(5)
Manufactured Home
Other Improvements
(6)
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 ```` p�•(pI
O
tate Signed (date, month, year)
Verifying Action — Signature of Auditor G
STANDARD DEDUCTION ALLOWANCE
Dale Signed (date, month, 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 reel property may not exceed one-half (112) of the assessed value of the mobile
home or manufactured home.
Signature of Auditor
Dal e Signed (month, day, year)
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DISTRIBUTION: Original — County Audllor, File -Stamped Copy —Taxpayer
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