DLGF Forms
To access all Department of Local Government Finance forms please visit the State Forms Online Catalog available HERE.
- Appeals Process Forms
- Assessment Forms Deduction Forms
- Exemption (Real Property) Forms
- Personal Property Forms
- Utility Forms
- Other DLGF Forms
Appeals Process Forms
| Appeals Process Forms | ||
|---|---|---|
| State Form Number | Form Title | |
| 12483 (Form 133) |
Petition for Correction of an Error | |
| 20916 (Form 115) |
Notification of Final Assessment Determination | |
| 21513 (Form 130) |
Petition for Review of Assessment by Local Assessing Official - Property Tax Assessment Board of Appeals | |
| 21522 (Form 114 PP) |
Notice of Hearing on Petition - Personal Property | |
| 43087 (Form 138) |
Notice of Defect in Completion of Assessment Appeal Form | |
| 49149 (Form 114) |
Notice of Hearing on Petition - Real Property (By County Tax Assessment Board of Appeals) | |
| 53165 (Form 137 TP) |
Petition for Waiver of Penalties Against a Taxpayer or Taxpayers Representative on Real or Personal Property | |
| 53626 (Form 134) |
Joint Report by Taxpayer/Assessor to the County Board of Appeals of a Preliminary Informal Meeting | |
| 53958 (Form 130 Short) |
Taxpayer's Notice to Initiate an Appeal | |
Assessment_Forms
| Assessment Forms | ||
|---|---|---|
| State Form Number | Form Title | |
| 466 (Form 2) |
Notice of Assessment of Mobile Home | |
| 786 | Notice of Assessment Registration | |
| 7878 | Mobile Home Permit | |
| 9931 (Form G & O-1) |
Property Schedule for Gas and Oil Well Assessment | |
| 09283 (Form 122) |
Report of Assessment for Omitted or Undervalued Property Assessment and Assessment Penalty | |
| 17592 (Form 137R) |
Petition for Survey and Reassessment - Real and Personal Property Partially or Totally Destroyed by Disaster | |
| 18158 | Real Property Assessor's Book | |
| 18160 | Personal Property Assessor's Book | |
| 18602 (Form 34 C) |
Certification by County Assessor (of Railroad and Public Utility Assessments) | |
| 18603 (Form 34 T) |
Certification by Township Assessor (of Railroad and Public Utility Assessments) | |
| 21366 (Form 11 R/A) |
Notice of Assessment of Land and Structures | |
| 21368 | Township Report to County Assessor | |
| 21519 (Form 111/PP) |
Notice of Review of Current Year's Assessment | |
| 21521 (Form 113/PP) |
Notice of Assessment / Change (By An Assessing Official) | |
| 22691 (Form 122A) |
Report to County Auditor of Added Assessments and Assessment Penalties | |
| 45650 (Form 11 C/I) |
Notice of Assessment of Land and Structures | |
| 46725 (Form 113) |
Notice of Assessment by Assessing Official | |
| 46885 | Application for Wetland Adjustment to Land Assessed Using the Agricultural Soil Productivity Method | |
| 49865 (Form 29 MH) |
Annually Assessed Mobile Home Assessor's Book | |
| 51536 (Form 135) |
Affidavit of Destroyed or Removed Property | |
| 51766 (Form CF-1/Real Property) |
Compliance with Statement of Benefits - Real Estate Improvements | |
| 51767 (Form SB-1/Real Property) |
Statement of Benefits - Real Estate Improvements | |
| 53949 | Petition for Review of Order Making Annual Adjustments to Assessed Valuation | |
| 53950 (Form 137PF) |
Petition for Survey and Reassessment Real Property that is Permanently Flooded or Access is Permanently Prevented by Flooding | |
Deduction Forms
| Deduction Forms | ||
|---|---|---|
| State Form Number | Form Title | |
| 05473 (Form HC10) |
Homestead Deductions | Claim for Homestead Property Tax Standard / Supplemental Deduction |
| 54890 | Homestead Deduction Change of Use | Notice of Change of Use on Property Receiving the Homestead Standard Deduction |
| 43709 | Mortgage Deductions | Statement of Mortgage or Contract Indebtedness for Deduction from Assessed Valuation |
| 43708 | Over 65 Deduction Over 65 Circuit Breaker Credit |
Application for Senior Citizen Property Tax Benefits |
| 43710 | Blind/Disabled Deduction | Application for Blind or Disabled Person's Deduction from Assessed Valuation |
| 12662 | Disabled Veteran Deductions | Application for Tax Deduction for Disabled Veterans, WWI Veterans and Surviving Spouses of Certain Veterans |
| 49568 (Form 322) |
Rehabilitated Residential Property Deduction |
Application for Deduction from Assessment on Rehabilitated Property |
| 49567 (Form 322A) |
Rehabilitated Property Deduction | Application for Deduction from Assessed Valuation of Rehabilitated Property |
| 18865 (Form SES/WPD) |
Environmental Deductions | Statement for Deduction of Assessed Valuation (Attributed to Solar Energy System/Wind, Geothermal or Hydroelectric Power Device) |
| 45651 | Fertilizer Storage Deduction | Statement for Deduction of Assessed Valuation (Fertilizer and Pesticide Storage Improvements) |
| 53812 | Model Residence Deduction | Application for Model Residence Deduction |
| 54861 | Residence in Inventory Deduction | Application for Residence In Inventory Deduction |
| 52500 (Form RE-CCP) |
Building Constructed of Coal Combustion Products Deduction | Statement for Deduction of Assessed Valuation Building Constructed of Coal Combustion Products |
| 52501 (Form EZ-2) |
Enterprise Zone Investment Deduction | Enterprise Zone Investment Deduction Application |
| 53179 (Form 322/VBD) |
Real Property Vacant Building Deduction | Application for Deduction from Assessed Valuation - Real Property Vacant Building Deduction |
| 18379 (Form 322/RE) |
Application for Property Tax Exemption | Economic Revitalization Area Abatement for Real Property |
Exemption (Real Property) Forms
| Exemption (Real Property) Forms | ||
|---|---|---|
| State Form Number | Form Title | |
| 09284 (Form 136) |
Real Property Exemptions |
Application for Property Tax Exemption |
| 49585 (Form 120) |
Notice of Action on Exemption Application | |
| 54173 (Form 136-CO/U) |
Change of Ownership of Exempt Property |
Notice of Change of Ownership of Exempt Property |
Personal Property Forms
|
Personal Property Forms | ||
|---|---|---|
| State Form Number | Also Known As | Form Title |
| 50006 (Form 102) |
Must be filed with Form 104. | Farmer's Tangible Personal Property Assessment Return |
| 54483 (Form 103-CTP) |
For use in claiming deduction under IC 6-1.1-12.7. | Schedule of Deduction from Assessed Valuation Personal Property in Certified Technology Park |
| 54484 (Form 103-CTP/EL) |
Must be filed when any new property is claimed on Form 103-CTP | Equipment List for New Additions to CTP Deduction Personal Property in Certified Technology Park |
| 52515 (Form 103-EL) |
Must be filed with new manufacturing and development, logistical distribution and/or IT equipment claimed on Form 103-ERA. | Equipment List for New Additions to ERA Deduction Personal Property in Economic Revitalization Area |
| 52503 (Form 103-ERA) |
Must be field with Form 103-Long to receive deduction. | Schedule of Deduction from Assessed Valuation Personal Property in Economic Revitalization Area |
| 22649 (Form 103-I) |
For use in reporting true tax value of interstate carriers. | Return for Interstate Carriers |
| 54182 (Form 103-IT) |
For use in claiming the exemption under IC 6-1.1-10-44. | Claim for Exemption of Enterprise Information Technology Equipment |
| 23000 (Form 103-N Schedule 1) |
For use in reporting all personal property in Schedule I or II held, possessed or controlled. Filed with Form 102 or 103. | Information Return of Not Owned Personal Property |
| 24057 (Form 103-O) |
For use when personal property is owned by the filer, but held, possessed or controlled by another person. Filed with Form 102 or 103. | Information Return of Owned Personal Property |
| 24056 (Form 103-P) |
For use by Industrial Waste Control Facilities to claim an exemption from assessment. Must be filed with Form 103 to be reviewed. | Claim for Exemption of Air or Water Pollution Control Facilities |
| 52497 (Form 103-P5) |
For use by integrated steel mill or entity that is at least 50 percent owned by an affiliate of an integrated steel mill; and falls within Asset Class 33.4 | Business Tangible Personal Property Depreciable Assets in Pool 5 |
| 52498 (Form 103-P5/ERA) |
Must be filed with Form 103-Long. A separate schedule must be completed for each approved abatement (Form SB-1/PP). | Schedule of Deduction from Assessed Value Pool 5 Property in Economic Revitalization Area |
| 55063 (Form 103-SPD) |
Supporting Schedule for Deduction of Assessed Valuation on a Personal Property Solar Power Device | |
| 22667 (Form 103-T) |
Must be filed with Form 103-Long. | Return of Special Tools |
| 53854 (Form 103-SR) |
For use by taxpayers with personal property in more than one township. Personal property assessed value in county is less than $1,500,000. Must be filed with Form 104-SR. | Single Return - Business Tangible Personal Property |
| 11274 (Form 103-Short) |
Must be filed with Form 104. | Business Tangible Personal Property Return |
| 11405 (Form 103-Long) |
Must be filed with Form 104. For use by manufacturers or processors; if business personal property is greater than $150,000; if filer wishes to claim deductions other than enterprise zone or investment; if filer is claiming special adjustments (equipment not placed in service, special tooling, permanently retired equipment, or abnormal obsolescence). | Business Tangible Personal Property Assessment Return |
| 10068 (Form 104) |
Must be filed with Form 102 or 103. | Business Tangible Personal Property Return |
| 53855 (Form 104-SR) |
Must be filed with Form 103-SR. | Single Return - Business Tangible Personal Property |
| 12980 (Form 106) |
For use in detailing adjustments. Must be filed with Form 103 or 102. | Schedule of Adjustments to Business Tangible Personal Property Return |
| 51765 (Form CF-1/PP) |
Must be filed with Form 103-ERA. | Compliance with Statement of Benefits Personal Property |
| 52501 (Form EZ-2) |
For use in claiming personal property deduction for property in an Enterprise Zone. | Enterprise Zone Investment Deduction Application |
| 42963 (Form MOD-1) |
For use in summarizing deductions from assessed value of property located in a Maritime Opportunity District. Must be filed with the Form 103. | Application for Deduction from Assessed Valuation - Maritime Opportunity District |
| 52499 (Form PP-CCP) |
For use by manufacturers using recycled coal combustion products. Must be filed by May 15 with the County Auditor. | Statement for Deduction of Assessed Valuation (Investment Property Purchased by Manufacturers of Recycled Coal Combustion Products) |
| 51764 (Form SB-1/PP) |
Must be submitted to the body designating the Economic Revitalization Area prior to the public hearing. | Statement of Benefits Personal Property |
| 34608 (Form 15) |
Report to Department of Local Government Finance by County Assessor | |
Utility Forms
| Utility Forms | ||
|---|---|---|
| State Form Number | Form Title | |
| 31289 (U.D Form 32) |
Annual Report - Railroad Property | |
| 40408 (U.D. Form 45) |
Annual Report | |
| 46373 (DLGF RC-1) |
Report of Railcar Tax | |
| 47336 (Schedule A-4) |
Water Pollution Control Equipment | |
| 47337 (Schedule A-3) |
Air Pollution Control Equipment | |
| 47338 (Schedule A-5) |
REMC Schedule | |
| 47339 (Schedule A-6) |
Pipe Valuation | |
| 47340 (Schedule A-7) |
Utility Distributable Property of Pipeline Companies | |
| 47341 (Schedule A-8) |
Value of Buses and Tires | |
| 52446 (Form SB-1/UD) |
Statement of Benefits - Utility Distributable Property | |
| 52447 (Form UD-ERA) |
Schedule of Deduction from Assessed Valuation Utility Distributable Property in Economic Revitalization Area | |
| 52448 (Form CF-1/UD) |
Compliance with Statement of Benefits - Utility Distributable Property | |
Other DLGF Forms
| Other DLGF Forms | ||
|---|---|---|
| State Form Number | Form Title | |
| 23261 | Power of Attorney | |
| 23341 (Form 1) |
Notice of Placing of Mobile Home Upon Land or Lot | |
| 43779 (Form CVTT-1) |
Commercial Vessel Tonnage Tax Return | |
| 46021 | Sales Disclosure Form | |
| 50055 | Indiana Residential Property Record Card | |
| 50056 | Indiana Commercial and Industrial Property Record Card | |
| 50057 | Indiana Agricultural Property Record Card | |
| 52694 | County Option Dog Tax | |
| 53569 (Form TS-1A) |
2012 Tax Statement | |
| 53569 (Form TS-1A) |
2013 Tax Statement | |
| 53915 (Form TS-1P) |
Tax Statement | |
| 53954 | Authorization for Receipt of Electronic Property Tax Statements | |
| 54060 (Form TS-1L) |
Tax Statement | |
| 54193 | Certificate of Net Assessed Valuations to the Department of Local Government Finance | |
| 55042 | Request for Electronic Transmission of Statements and Other Information | |
