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NOTICE OF CHANGE OF USE OF PROPERTY
RECEIVING THE HOMESTEAD STANDARD DEDUCTION
State Form 54890 (R / 1-16)
Prescribed by the Department of Local Government Finance
1. Please type or print.
2. This form must be filed with the County Auditor within sixty (60) days after the date that the property no longer qualifies for the Homestead Standard Deduction. IC 6-1.1-12-37(f)
3. A change in use of or title to a property may disqualify it for a homestead deduction or require the deduction to be re-filed.
NOTICE: An individual who fails to file this form in a timely manner is liable for any additional taxes that would have been due on the property plus a civil penalty of 10% of the additional taxes due. IC 6-1.1-12-37(f)
Name of taxpayer (Last, First)
Social Security number of taxpayer (last five digits)
Drivers license / Identification / Other number of claimant (last five digits)
Name of taxpayers spouse (legal name)
Social Security number of taxpayers spouse (last five digits)
Drivers license / Identification / Other number of taxpayers spouse (last five digits)
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Taxing district (city, town, township)
Is the property in question:
Annually assessed mobile home (IC 6-1.1-7)
Address (number and street, city, state, and ZIP code)
Portion of property no longer eligible:
Description of the change in use or the reason that the property no longer qualifies for the deduction.
I hereby certify that the information contained in this notice is true, correct, and complete.
Signature of taxpayer or authorized representative
Click here to sign
Printed name of taxpayer or authorized representative
Filed Stamped Copy - Taxpayer; Original - County Auditor
Attach Document (PDF, JPG, PNG, GIF, TIFF Only)
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