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                 STATEMENT FOR DEDUCTION OF ASSESSED VALUATION                                                                                      FORM     SES / WPD 
                 (Attributed to Solar Energy System or Solar, Wind, Geothermal, or Hydroelectric Power Device) 
                 State Form 18865 (R13 / 9-24) 
                 Prescribed by the Department of Local Government Finance 
INSTRUCTIONS:   To be filed in person or by mail by the owner of such property with the county auditor of the county where the property is located. A 
                  person who is no longer eligible for this deduction shall notify the county auditor of this change. (IC 6-1.1-12-36) 
FILING DATES:     (1) Must be completed, dated, and filed or postmarked on or before January 15 of the calendar year in which the property taxes are first
                  due and payable.
                  (2) State Distributable Property under IC 6-1.1-8 (solar powered device only): Must be completed, dated, and filed on or before January 15
                  of the calendar year in which the property taxes are first due and payable.
                  (3) Personal Property under IC 6-1.1-3 (solar powered device only): Must be completed ,           dated ,and filed on or before January 15 of the
                  calendar year in which the property taxes are first due and payable. In addition to filing this form for the deduction, an applicant must
                  also attach a Form 103-SPD to either the applicant’s personal property tax return or amended personal property tax return for each
                  year the deduction is desired.
                  (IC 6-1.1-12-26; 6-1.1-12-26.1; 6-1.1-12-27.1; 6-1.1-12-29; 6-1.1-12-30; 6-1.01-12-33; 6-1.1-12-34; 6-1.1-12-35.5; 6-1.1-12-36)
All claims for a deduction filed on a geothermal or hydroelectric system or device must be accompanied by proof of certification of qualification by the 
Department of Environmental Management pursuant to IC 6-1.1-12-35.5. 
                                                                      CERTIFICATION STATEMENT 
I (We), __________________________ certify that I (we) own or am (are) buying on contract or am (are) leasing the real property from the real property 
owner the following real property, mobile/manufactured home, state distributable property, or personal property that is subject to assessment and property 
taxation and for which a: 
  ☐ Solar Energy Hearing or Cooling System                  ☐ Wind Power Device            ☐ Geothermal Device            ☐ Hydroelectric Device
  Solar Power Device*:          ☐ Real              ☐ Mobile/Manufactured Home             ☐ State Distributable          ☐ Personal Property
  *Applies to a solar power device installed after December 31, 2011.
deduction from assessed valuation is hereby claimed in _______________________________________________________ County. 
Date System/Device was Installed (month, day, year)                                            Total Deduction claimed 
                                                                                                 $ 
                                                                             PROPERTY DESCRIPTION 
Taxing District (city, town, township)                      Township                                                Legal Description or Key Number 

If a deduction was allowed last year, have there been any changes in the property?                                  Parcel Number 
                                                                             ☐ Yes             ☐ No
Address of Owner (number and street, city, state, and ZIP code) 

I (We) hereby certify that the above statement is           Signature                                               Date (month, day, year) 
true, correct, and complete. 
                                         FOR AUDITOR’S USE ONLY                                                             Assessment Date First Effective 
                                                                                                                                 20_____ Payable 20_____ 
1 Total assessed value of real property or mobile / manufactured home including qualifying device / system.            $ 
2(a)  For wind; geothermal; hydroelectric; real property or mobile / manufactured home with a solar powered device: 
  Enter the assessed valuation without the qualifying device / system.                                                 $ 
2(b)  For solar energy system only:  Out-of-pocket expenditures for components and installation labor.                 $ 
2(c)  For personal property solar power device deduction:  Enter amount calculated on Form 103-SPD.                    $ 
2(d)  For state distributable solar power device deduction:  Enter assessed value of qualifying equipment.             $ 
3 Deduction:  Line 1 minus Line 2(a); or enter the actual amount shown on Line 2(b), 2(c), or 2(d).                    $ 
                                                              VERIFICATION BY ASSESSING OFFICIAL 
Is property recommended for deduction?                      Recommended Deduction              Comments, if any: 
                                       ☐ Yes   ☐ No
Signature of Assessing Official                             Printed Name of Assessing Official                      Date Signed (month, day, year) 

                                                            FINAL DETERMINATION OF COUNTY AUDITOR 
                                                                                                                    Approved Deduction 
Deduction determined by county auditor for assessment date of _________________, 20 _____ payable in 20____.  
                                                                                                                    $ 
Signature of County Auditor                                 Printed Name of County Auditor                          Date Signed (month, day, year) 

Description or Reasons for Change: 

Distribution on date of filing:  Original – County Auditor; File stamped copy – Applicant; File stamped copy – Township Assessor, if any, or County Assessor 
Distribution on date that determination is made:  Original – County Auditor; Copy – Applicant;   Copy – Township Assessor, if any, or County Assessor