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              CLAIM FOR HOMESTEAD PROPERTY TAX                                                                                                 FORM                   YEAR 
              STANDARD / SUPPLEMENTAL DEDUCTION 
              State Form 5473 (R19 / 1-23)                                                                                                     HC10 
              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 STATEMENT 
I (We) ____________________________________________________________________________ certify that I (we) occupied as my (our) principal place of 
residence or am (are) buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the 
date this application is signed, ___________________________ (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.
                                                                  CLAIMANT’S INFORMATION 
Name of Claimant (legal name)                                  Telephone Number of Claimant                  Email Address
                                                               (          ) 
Social Security Number of Claimant (last five digits)          Driver’s License / Identification / Other Number of Claimant (last five digits)          Issuing State 
                                                               (Applicable only if applicant does not have a social security number) 

Name of Claimant’s Spouse (legal name) 

Social Security Number of Claimant’s Spouse (last five digits) Driver’s License / Identification / 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 RECORDED 
If Buying on Contract, Fee Simple Owner’s Name 

Recorder’s Office Where Contract is Recorded                                                                                  Record Number                           Page 

                                                                            PROPERTY DESCRIPTION 
County                                      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 produce income, describe the use and portion 
of the property utilized to produce income. 

                                                      PROPERTY OWNED ELSEWHERE BY CLAIMANT 
State, County, and Township                                                                                                   Is Claimant Vacating a Homestead? 
                                                                                                                                     ☐ Yes              ☐ No
                                                                                  Signature of Claimant 
I hereby certify the above statements are true, correct, and complete. 
Address of Contact (number and street, city, state, and ZIP code)                 Address of Vacated Homestead, if any (number and street, city, state, and ZIP code) 

                     ASSESSOR USE ONLY                                      ASSESSED VALUE        HOMESTEAD VALUE                                       NON-RESIDENTIAL VALUE 
Land Not Exceeding One (1) Acre Immediately                       (1) 
Surrounding Residential Improvement 
Other Land                                                        (2) 
Total Land (line 1 plus line 2)                                   (3) 
Residential Improvements or                  Dwelling             (4) 
Annually Assessed Mobile / 
Manufactured Home                            Garage               (5) 
Other Improvements                                                (6) 
Total Improvements (Line 4 through Line 6)                        (7) 
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. 
Verifying Action – Signature of Auditor                                                                                                                 Date Signed (date, month, year) 

                                                               STANDARD DEDUCTION ALLOWANCE 
20 ______ Pay 20 ______      Lesser of 60% of the assessed value of the homestead or $48,000. 

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 (1/2) of the assessed value of the mobile home or manufactured home. 
Signature of Auditor                                                                                         Date Signed (month, day, year) 

DISTRIBUTION:  Original – County Auditor, File-Stamped Copy – Taxpayer 
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                                      NOTICE OF HOMESTEAD STANDARD DEDUCTION 
                                                               IC 6-1.1-12-37 
 The homestead standard deduction has been enacted to allow a property tax deduction for each qualified homestead.  
 Read carefully the qualifying guidelines below: 
 DEFINITIONS:     “Homestead” means an individual’s principal place of residence: 
                  1.  that is located in Indiana; 
                  2.  that: 
                        a.  the individual owns; 
                        b.  the individual is buying under a contract, recorded in the  ounty c ecorder’sroffice, that provides that 
                             the individual is to pay the property taxes on the residence and that obligates the seller to convey 
                             title to the individual upon completion of all of the individual’s contract obligations; 
                        c.  the individual is entitled to occupy as a tenant-stockholder (as defined in 26 USC 216) of a 
                             cooperative housing corporation (as defined in 26 USC 216); 
                        d.  is a residence described in IC 6-1.1-12-17.9 that is owned by a trust if the individual is an 
                             individual described in IC 6-1.1-12-17.9; or 
                        e.  is a residence owned by a corporation, partnership, limited liability company, or other entity and 
                             the requirements of IC 6-1.1-12-37(k) are met; and 
                  3.    that consists of a dwelling and the real estate (up to one (1) acre) that immediately surrounds 
                        that dwelling. 
                  “Dwelling” means any of the following: 
                  1.  Residential real property improvements that an individual uses as the individual’s residence, 
                        including a house or garage; 
                  2.  A mobile home that is not assessed as real property that an individual uses as the individual’s residence; or 
                  3.  A manufactured home that is not assessed as real property that an individual uses as the individual’s 
                        residence. 
                         
 WHO MAY QUALIFY: An individual who: owns a homestead, is buying a homestead under a recorded contract that requires 
                  the individual to pay the property taxes and that obligates the seller to convey title to the individual 
                  upon completion of all of the individual’s contract obligations, or is entitled to occupy the homestead 
                  as a tenant-stockholder of a cooperative housing corporation. 
                  A trust is entitled to the homestead standard deduction for real property owned by the trust and occupied by an 
                  individual if  the county auditor determines that the individual: 
                     1.  upon verification in the body of the deed or otherwise, has either: 
                                a.  A beneficial interest in the trust; or 
                                b.  The right to occupy the real property rent free under the terms of a qualified personal 
                                   residence trust created by the individual under United States Treasury Regulation 25.2702-
                                   5(c)(2); 
                     2.  otherwise qualifies for the deduction; and 
                     3.  would be considered the owner of the real property under IC 6-1.1-1-9(f) or IC 6-1.1-1-9(g). 
 No portion of a residential dwelling that is income-producing is eligible for the homestead standard deduction, including, but not 
 limited to, one-half of a duplex side or rented apartment that is a part of the structure, a beauty shop or crafts shop in one or two 
 rooms of the structure, a dry cleaners or electronics shop beneath an apartment, or an auto repair shop in the garage. 
 Property owned by a corporation, partnership, limited liability company, or other entity is not entitled to the homestead standard 
 deduction unless the requirements of IC 6-1.1-12-37(k) are met. 
 For assessment dates after 2009, the term “homestead” includes a deck or patio, a gazebo, and certain other residential yard structures 
 (other than a swimming pool) assessed as real property and attached to the dwelling. 
 WHEN TO FILE: This application must be completed and dated in the calendar year for which the applicant desires to obtain the 
               deduction and filed or postmarked with the county auditor on or before January 5 of the calendar year in which 
               the property taxes are first due and payable. The application applies for that first year and any succeeding year 
               for which the deduction is allowed. 
 HOW TO FILE:  Forms must be filed at the county auditor’s office in the county where the homestead is located. If an individual 
               mails this form and desires to have a file-stamped copy returned, the individual must provide a self-addressed, 
               stamped envelope to the county auditor’s office. 
               Only one individual or married couple may receive a homestead deduction for a particular homestead in a 
               particular year. The portion above the “Signature of claimant” must be completed in full before the deduction will be 
               considered. 
 For additional filing information, please see IC 6-1.1-12-37. 
 DISALLOWANCE OF MULTIPLE CLAIMS: The county auditor may not grant an individual or married couple a homestead deduction if: 
                                           1.  for the same year, the individual or married couple claims the homestead deduction 
                                                 on two (2) or more different deduction applications; and 
                                           2.  the applications claim the homestead deduction for different property. 
 If a person moves from his Indiana principal place of residence (for which he is receiving a homestead deduction) after the assessment 
 date to a new principal place of residence later that year, the homestead deduction on the first property will stay in place for that tax 
 cycle and the person can apply for and potentially receive a homestead deduction on the new property for that same tax cycle.  For the 
 next assessment date, the homestead deduction would be removed from the first property.  See IC 6-1.1-12-37(h). 
 A person must actually be eligible for the deduction at the time the application is signed, meaning the property is being used as his or 
 her principal place of residence at the time of signing. 

                                           NOTICE OF SUPPLEMENTAL DEDUCTION 
                                                          IC 6-1.1-12-37.5 
 A person who is entitled to a homestead standard deduction is also entitled to receive a supplemental deduction from the assessed 
 value of the homestead to which the standard deduction applies after the application of the standard deduction, but before the 
 application of any other deduction, exemption, or credit for which the person is eligible. 
 The amount of the supplemental deduction is equal to the sum of the following: 
  1.  Thirty-five percent (35%) of the assessed value that is not more than six hundred thousand dollars ($600,000). 
  2.  Twenty-five percent (25%) of the assessed value that is more than six hundred thousand dollars ($600,000) 
 The county auditor is required to record and make the deduction for the person qualifying for the supplemental deduction. 
 The statutory limit of one-half (1/2) of the assessed value that applies to the sum of the deductions provided under 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 does not apply to 
 the supplemental deduction. 
 
 INELIGIBILITY PENALTY:     If an individual whose property becomes ineligible for the homestead deduction fails to file a certified 
                            statement with the county auditor notifying the auditor of the ineligibility within sixty (60) days after the date 
                            of the change, the individual is liable for the amount of the deduction allowed for that real property, plus a 
                            civil penalty equal to ten percent (10%) of the additional taxes due. 
 
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