Homestead_Carlisle t• STATE FORM 5JVAIICJ,V�I -- TREASURER FORM TS-IA
.VPPm"_Dm nIJL M\fron1'AIVVRTt'.y,w PEb(RJam BY TDE DEPARTSD.n Or LOCAL novtRMNIFTnu.NcEtcs-tit-L-RI
Gibson County Auditor- - - IMPORTANT NOTICE TO HOMESTEAD-PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this dedtction['cant
_ more beneficial,there is more incentive than e'er for homestead fraud.Ihomestead fraud causes higher lac bills for all:therefore.
• HE.\ 1344-2009 requires taspascrs who receive the homestead standard deduction to'erity that they are eligible to Receive the
benefit and to prtx'ide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized couny officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Carlisle, Perry A/Paula D
It I Boa 38
. Oakland City IN 47660
— --4223- --_.— - — -- ---° — - - - - ---- — —
Perry A/Paula D Carlisle
10424 E 50 N State Parcel Number Leila! Description
Oakland City IN 47660-8618
ttltriltttltlltttllttlltttlttIltII Ill delft titlt ltt llt tltl 26-13-02-400-000.030-006 003-00030-00 PT SE 2-2-9.367 AC
C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
yerf9 }�llevl Cekrli5l�
_•IgA dress(number and street,city.state,and ZIP Code)._ ——_ _ - — -- -E Same a emperty.rddtcc; — - — -
to�fa4 � 50 N , Cam CCU, /Ai 47&e.o
Spouse First Middle Last
C L �, Very) tarp 5lc
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
l o �a� 50 N, oakOkid C, 1 N766a
-
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties. .
Owner ignature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX M YEAR
d ,4i CREDIT /STANDARD DEDUCTION HcR0 a
State Form 5473 (R2/1 -90) /
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT nr%T 2 2. 1QQ2
I (We) Q certify that on. the 1 da oa�
'(We) occupied s our principal place of residence the following described real property f@rltFdBIIT omestead
Property Tax Credit is hereby claimed: Lj--1-(We) owned ❑ Are buying under contract
El property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
County
tH I Y Uttil;HlIj I IUN
Taxing D0XicWCity,r(owp,
Parcel Number Legal Desc n off, , a �-7 n
Itany portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
'tiereby certify the above statements are true. correct and _ Sig a e _
omplete.
Address Street. nu m¢Gr. city. st e d „ u
Nf ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding t (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (1) plus line (2)
Residential improvements Dwelling -
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 1/2 Homestead
19— Pay 19 -
Lesser of 1/2 Homestead
aluation or $2,500
(2)
Valuation or S1,500
Valuation or $1,500
(3)
Signature of Auditor
Q -
(4) -
Date Signed
to -a� _V_
-
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
Wser of 1/2 Homestead
1990 Pay 1991
Lesser of 112 Homestead
1991 Pay 1992
Lesser of 1/2 Homestead
19— Pay 19 -
Lesser of 1/2 Homestead
aluation or $2,500
Valuation or $2,000
Valuation or S1,500
Valuation or $1,500
Signature of Auditor
Q -
Date Signed
to -a� _V_