DLGF Forms
To access all Department of Local Government Finance forms please visit the State Forms Online Catalog available HERE.
State Form Number Form Title 20916
(Form 115)Notification of Final Assessment Determination 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)Taxpayer's Notice to Initiate an Appeal 55853 Standard Form Agreement to Forego PTABOA Hearing ot to Stipulate to Assessed Value by way of Appraisal
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 9283
(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 55928 Prescribed Contract for New Construction Review 55929 Prescribed Contract for Annual Adjustments 55930 Prescribed Contract for Annual Adjustments and Cyclical Reassessment 55931 Prescribed Contract for Computer Software, Services, and Equipment 55932 Prescribed Contract for Cyclical Reassessment 55972 Limited Delegation of Authority for Entering and Editing Data in the Indiana Gateway Website - PTABOA
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 43708 Over 65 Deduction
Over 65 Circuit Breaker CreditApplication 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 53179
(Form 322/VBD)Real Property Vacant Building Deduction Application for Deduction from Assessed Valuation - Real Property Vacant Building Deduction 55706 Heritage Barn Deduction Statement of Deduction of Assessed Valuation Attributed to Heritage Barn 18379
(Form 322/RE)Real Property Tax Abatement Deduction Economic Revitalization Area Abatement for Real Property
State Form Form Title 09284
(Form 136)Real Property
ExemptionsApplication for Property Tax Exemption 49585
(Form 120)Notice of Action on Exemption Application 54173
(Form 136-CO/U)Change of Ownership
of Exempt PropertyNotice of Change of Ownership of Exempt Property
If you desire to obtain a personal property form from a prior year, please contact the DLGF with your request.
State Form Form Title 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 50006
(Form 102)Must be filed with Form 104. Farmer's Tangible Personal Property Assessment Return 10068
(Form 104)Must be filed with Form 102 or 103. Business Tangible Personal Property Return 53854
(Form 103-SR)For use by taxpayers with personal property in more than one township in a county. Must be filed with Form 104-SR. Single Return - Business Tangible Personal Property 53855
(Form 104-SR)Must be filed with Form 103-SR. Single Return - Business Tangible Personal Property 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 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 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 22667
(Form 103-T)Must be filed with Form 103-Long. Return of Special Tools 52501
(Form EZ-2)For use in claiming personal property deduction for property in an Enterprise Zone. Enterprise Zone Investment Deduction Application 51765
(Form CF-1/PP)Must be filed with Form 103-ERA. Compliance with Statement of Benefits Personal Property 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 22649
(Form 103-I)For use in reporting true tax value of interstate carriers. Return for Interstate Carriers 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 55063
(Form 103-SPD)Supporting Schedule for Deduction of Assessed Valuation on a Personal Property Solar Power Device 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 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 54483
(Form 103-CTP)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 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) 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 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 57226
(Form SB-1/AG PP)Statement of Benefits Personal Property - New Farm Equipment
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 57203
(Form 102-EL)Equipment List for New Additions to ERA Deduction New Farm Equipment in Economic Revitalization Area 57204
(Form 102-ERA)Schedule of Deduction from Assessed Valuation New Farm Equipment in Economic Revitalization Area
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
InstructionsSales Disclosure Form (Please contact your county assessor for submission instructions.) 55632 Sales Disclosure Part 1(A) 57017 Sales Disclosure Form Addendum - Agricultural or Residential Property 57018 Sales Disclosure Form Addendum - Commercial or Industrial Property 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)Tax Statement Documentation Bundle 53915
(Form TS-1P)Tax Statement - Provisional 53954 Authorization for Receipt of Electronic Property Tax Statements 54193 Certificate of Net Assessed Valuations to the Department of Local Government Finance 55042 Request for Electronic Transmission of Statements and Other Information 55800 Application for Certification as a Professional Appraiser 55801 Homestead Database / Assessor-Edit Login Request 55802 Level III Assessor-Appraiser Application 55804 Approved Level III Assessor-Appraiser Course Sponsor – Course Approval Application 55805 Indiana Tax Representative Application 55806 Level III Certified Assessor-Appraiser Course Sponsor Application 55809 Level I, II, or Level III Assessor-Appraiser Certification Continuing Education Credit 57119 Level I, II, or Level III Assessor-Appraiser Certification Continuing Education Credit for Online Course or Webinar 55811 Relinquishment of Authority and Limited Delegation of Authority for Submitting School Data through the Gateway Website and Authorizing Additional Website Users 55865 Ordinance / Resolution for Appropriations and Tax Rates (Form 4) 55883 Guaranteed Savings Contract Provider Application 55886 Guaranteed Energy Savings Contract Annual Savings Report 55888 Petition for Review of Proposed Controlled Project 56012 Voluntary Waiver of Assessor-Auditor Appraiser Certification and Tax Representative Certification 56028 Written Request for Waiver From Implementation of Protected Taxes Under IC 6-1.1-20.6-9.9 56707 Annexation Report 56059 TIF Allocation Area Real Property Base Neutralization Worksheet 56327 Limited Delegation of Authority for Entering and Editing Data in the Indiana Gateway Website for City or Town Units 56328 Limited Delegation of Authority for Entering and Editing Data in the Indiana Gateway Website for Budget Access - Binding Review Units 56329 Limited Delegation of Authority for Entering and Editing Data in the Indiana Gateway Website for County Units 56330 Limited Delegation of Authority for Entering and Editing Data in the Indiana Gateway Website for Solid Waste Management Districts 56331 Limited Delegation of Authority for Entering and Editing Data in the Indiana Gateway Website for Townships, Libraries, Schools or Conservancy Districts 56332 Limited Delegation of Authority for Entering and Editing Data in the Indiana Gateway Website for Special Districts 56485 Limited Delegation of Authority for Entering and Editing Data in the Indiana Gateway Website for County Assessor Associated Applications