State Form 18379 - Application For Deduction From Assessed Valuation Of Structures In Economic Revitalization Areas

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APPLICATION FOR DEDUCTION FROM ASSESSED VALUATION
20____ PAY 20____
OF STRUCTURES IN ECONOMIC REVITALIZATION AREAS (ERA)
State Form 18379 (R9 / 1-07)
FORM 322 / RE
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:
SECTION I - DESCRIPTION OF PROPERTY
The owner hereby applies to the County Auditor for a deduction pursuant to IC 6-1.1-12.1-5 beginning with the assessment date March 1, 20 ____.
County
Township
DLGF taxing district number
Key number
Name of owner
Property address (
)
Legal description from Form 11
Date of Form 11
Type of structure
Use of structure
Governing body that approved ERA designation
Resolution number
Date ERA designation approved (
)
SECTION II - VERIFICATION OF OWNER OR REPRESENTATIVE
Signature of owner or representative (
)
Date signed
Address (
)
SECTION III - STRUCTURES
AUDITOR'S USE
$
1. Assessed valuation AFTER rehabilitation
A. Rehabilitation structure
$
2. Assessed valuation at 100% of TTV BEFORE rehabilitation
$
3. INCREASE in assessed valuation
$
4. Assessed valuation eligible for deduction
$
B. New structure
1. Assessed valuation
$
2. Assessed valuation eligible for deduction
SECTION IV - VERIFICATION OF TOWNSHIP (OR TRUSTEE) ASSESSOR
I verify that the above described structure was assessed and the owner was notified on _________________________________________ with the
effective date of the assessment being March 1, 20 _______ and that the assessed valuations in Section III are correct.
Township
Date
Signature of Township (or Trustee) Assessor

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