Free 18865.pdf - Indiana

STATEMENT FOR DEDUCTION OF ASSESSED VALUATION
(Attributed To Solar Energy System / Wind, Geothermal or Hydroelectric Power Device)
State Form 18865 (R3 //01) (R4 5-06) Prescribed by Department of Local Government Finance

FORM SES /WPD

INSTRUCTIONS: TO BE FILED IN PERSON OR BY MAIL BY THE OWNER OF SUCH PROPERTY WITH THE COUNTY AUDITOR OF THE COUNTY IN WHICH THE PROPERTY IS LOCATED. FILING DATES: (1) Real Property: Wind / Geothermal / Hydroelectric - between March 1 and May 10 of the year the deduction is to apply; June (2) Real Property: Solar Energy - during the 12 months before June 11 of the year the deduction is to apply; May (3) Mobile Home acessed under IC 6-1.1-7 - between January 15 and March 31 of the year the deduction is to apply. (IC 6-1.1-12-26, 6-1.1-12-27.1, 6-1.1-12-29, 6-1.1-12-30, 6-1.1-12-33, 6-1.1-12-34, 6-1.1-12-35, 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. CERTIFICATION STATEMENT STATE OF INDIANA ______________________________________________________________________ COUNTY OF SS: I (We), _____________________________________________________________ certify that I (we) own the following described Real Property on the 1st day of March, 20 ______ Solar Energy System Wind Power Device from assessed valuation is here by claimed. Mobile Home on the 15th day of January, 20 ______ Geothermal Device Hydroelectric Device for which a deduction

PROPERTY DESCRIPTION
Taxing District (city, town, township) Township location Legal description or key number Parcel number

If a deduction was allowed last year, have there been any changes in the property?
Address of owner (number and street, city, state, ZIP code)

Yes

No

I (We) hereby certify that the above statement is true, correct and complete.

Signature

Date

FOR AUDITOR'S USE ONLY
1. Total assessed valuation at 100% of TTV of structure including Solar Energy System / Wind Power / Geothermal / Hydroelectric device. 2. MINUS: Assessed valuation at 100% of TTV of structure without the Solar Energy System / Wind Power / Geothermal / Hydroelectric device.

PREVIOUS YEAR AT 100% OF TTV $ $

PRESENT YEAR $ $ $

3. Difference (Deduction Allowable): The assessed value at 100% of TTV of the Solar Energy System / Wind Power / Geothermal / Hydroelectric device. $ Signature of Auditor Name of Assessor (print) Signature of Assessor Date Date

I have verified the above statement and found it to be true and correct.
Assessor of county, township

RECEIPT FOR STATEMENT OF DEDUCTION OF ASSESSED VALUATION ATTRIBUTED TO SOLAR ENERGY SYSTEM / WIND POWER / GEOTHERMAL OR HYDROELECTRIC DEVICE
Name of owner Description of property in county Signature of Auditor Township Parcel number Legal description or key number Date filed

Any person commits a class D felony if he makes and subscribes a property tax return statement or document that he does not believe is correct in every material respect pursuant to 6-1.1-37-3.