IN.gov - Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.

Amber Alert
Amber Alert - TEST
  • widget1
  • widget2
  • widget3
  • widget4
  • widget5
  • widget6
  • widget7
  • widget8
  • widget9

Department of Local Government Finance

DLGF > Forms > DLGF Forms DLGF Forms

To access all Department of Local Government Finance forms please visit the State Forms Online Catalog available HERE.

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

Return to Top

Assessment Forms

State Form 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)
Notice of Assessment of Land and Improvements (Form 11)
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
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
55182
(Form SB-1 / VBD)
Statement of Benefits Vacant Building Deduction
55183
(Form CF-1 / VBD)
Compliance with Statement of Benefits Vacant Building Deduction
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

Return to Top

Deduction Forms

Indiana Property Tax Benefits - State Form 51781

State Form 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 Structures Over 50 Year Old
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

Return to Top

Exemption (Real Property) Forms

State Form 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

Return to Top

Personal Property Forms

Filing of Form 105 is no longer required.

State Form 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

Return to Top

Utility Forms

State Form 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

Return to Top

Other DLGF Forms

State Form 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
53165 Petition for Waiver of Penalties Against a Taxpayer or Taxpayer's Representative on Real or Personal Property
53569
(Form TS-1A)
2014 Tax Statement Documentation Bundle
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

Return to Top