Indiana Application for Deduction from Assessed Valuation of Rehabilitated Structures Over 50 Year Old

Application for Deduction from Assessed Valuation of Rehabilitated Structures Over 50 Year Old
49567.FH11
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APPLICATION FOR DEDUCTION FROM ASSESSED VALUATION
OF REHABILITATED STRUCTURES OVER FIFTY (50) YEARS OLD

20___ PAY 20___

State Form 49567 (R6 / 11-16)

FORM 322A

Prescribed by the Department of Local Government Finance
SPECIAL NOTE:

No new deductions for the rehabilitation of structures over fifty (50) years old under IC 6-1.1-12-22 may be granted after the
January 1, 2017 assessment date.

INSTRUCTIONS: Application must be filed with the county auditor in person or by mail in the year in which the addition to the assessed value is made.
If notice of the addition to assessed value is not given to the property owner before December 1 of that year, this form may be filed
not later than thirty (30) days after the date of the mailing of the notice.
This deduction is for buildings or structures (does not include land) that were erected at least fifty (50) years prior to this application.
County

Township

DLGF taxing district number

The undersigned owner hereby applies to the County Auditor, pursuant to IC 6-1.1-12-22 through IC 6-1.1-12-24, for a deduction from the increase in
assessed valuation resulting from rehabilitation of the following described property:
Name of owner

Address of property (number and street, city, state, and ZIP code)

Year building or structure originally erected

Date of rehabilitation (month, day, year)

Type of dwelling:

Cost of rehabilitation

Kind of rehabilitation:

Single family dwelling
Other

Significant Repairs

Replacements

Improvements

LEGAL DESCRIPTION AS FOUND ON TAX DUPLICATE
Section

Township

Range

Addition

Block number

Lot number

ASSESSED VALUE
AFTER REHABILITATION
(IMPROVEMENTS ONLY)

ASSESSED VALUE
PRIOR TO REHABILITATION
(IMPROVEMENTS ONLY)

Key or parcel number

DIFFERENCE IN
ASSESSED VALUE
(IMPROVEMENTS ONLY)

INCREASE IN A/V DUE
TO REHABILITATION *
(DEDUCTION CLAIMED)

* The assessed value (A/V) eligible for the deduction is the increase in A/V resulting from the rehabilitation and does not include the increase in A/V which
resulted from the reassessment of the entire property.
CERTIFICATION
I hereby certify that the representations on this application are true.
Signature of owner

Name of owner (print or type)

Date (month, day, year)

Address (number and street, city, state, and ZIP code)

VERIFICATION BY ASSESSING OFFICIAL

REDUCTION CALCULATION BY AUDITOR

1. Type of structure

1. Amount of INCREASE attributed to rehabilitation (Same as #8 on left) *

2. Date erected (month, day, year)

2. 50% of #1 above

3. Date rehabilitated (month, day, year)

3. Maximum annual deduction (For single family dwellings - $124,800;
for other structures - $300,000.)

$ 0.00

4. Date reassessed (month, day, year)
5. Date taxpayer notified of increase in assessed valuation (month, day, year)

4. Annual deduction (Lesser of #2 or #3)

6. Assessed valuation of improvements AFTER rehabilitation

5. Date deduction approved (month, day, year)

7. Assessed valuation of improvements PRIOR TO rehabilitation

6. First year of deduction (Year in which taxes on rehabilitated portion of property
became payable.)

8. Amount of INCREASE attributed to rehabilitation *
9. Date verified (month, day, year)

7. Fifth year of deduction

NOTE: Owner must have paid at least $10,000 for the rehabilitation. A general reassessment or a cyclical reassessment which occurs within the
five (5) year period of the deduction does not affect the amount of the deduction. (IC 6-1.1-12-22 and IC 6-1.1-12-23)
Signature of assessing official

Signature of county auditor