Homestead_Carlisle CLAIM FOR FD'' TEAB PROPERTY TAX CREDIT FOR YEAR 19_ :
SEE BACK FOR FILING INSTRUCTIONS
• certify'that on the 1st day c••
I,`th, principal place of resiasce the fo7luaing described real
_ rch, 19 , I, (We) �� Credit is hereby being claiu�d:
xoerty for which a ncuesteaj
M°) ❑ owned
❑ are buying tinder contra-"t .
❑
have a beneficial intern in the taxpayer . pp
- , County Ix) /e Towns i
Proo✓rty Des.."'zption �.
. n
Taring District (City, Tan, Township) :
Parcel Number I I I •
J I cr
I • I or legal description shown an tax stater
�t. SE 1/y /a- -i - " i —
•
If buying on contract: Owners rape (fee si.nale owner)
Contract recorded in Recorder's Office - Record tID. Page
If any martian of the residential s`suct are or the land, not exoeeli-n4 one (1) acre that
inn eiiately surrounds that stn_tore is used to produce ;n&xzne, describe t e use and portion of
the property utilized to produce inrnne
•
owns or is buying real property: : - County : Township
Pny other counties in which individual
-t hereby certify the above statement is true, mue3.L and couplets. .
® Street daress . _ City, State and Zip Cod:
*Signature
tmer a contract that provides he is to pay the
*property. taxes xeshan tares or is ce, o4 interest t in.the taxpayer. •
•pfpperty taxes on the residence, or has a beneficial
. - FOR ASSESSOR'S USE ONLY -
'Itue rash. . Assessed Barestea:
• Value Va1nntion . valuation
Land not exceeding 1 (one) acre immediately
surrtnfi ng r si dentlal inprovenst' (1) Son / Z o / 70
O`, er Land (2) 2 2S0 � D7iQ/LM
(3) alb O �at ds -7,3 //0f7 h
Psieential Incsnmenmits Dwelling (4) - • 7//G��//////// 7/,% %%/�/
. Garage (5) — itiiti%//I " . /�,
Total (6) 23090 7 2c2 .7 ?co
its - Line (6) plus (7) equals (8) (8)
"
I hereby certify the above is true, correct, � Clete.
Date•Ssgnattre of Assssor
- ACTION BY AUDITOR
Date:
Ar'.tavt''
•
R Vt FORM!15MIR'/v■P TPrAnita 1.01 01 TS-tA
VMrn'ED BY frfit',CAROM Artnt Sit. •• PtEYNtW BY nn DEPARTI`R OFLpsL rnT iLNMI-XT ra:AYE M11.1"4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net for homestead fraud.I lomeslead fraud causes higher tax bills for all:therefore.
At-
, HEA 1344--2009 requires taxpayers who receive the homestead standard reduction to verify that they arc eligible to receive the
benefit and to provide additional identifyine information necessary to allow county government to better monitor homestead
filings.This information will be step confdernial and eon only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Carlisle, Jack R/Evelyn G
RI Box 40
Hazleton IN 47640 \�
377 Q
Jack R/Evelyn G Carlisle
5817 N Old Hwy US 41 State Parcel Number Leaal Description
Hazleton IN 47640
26-04-12-400-001.580-018 010-01580-00 PT SE 121 11 3.20 AC
X
PART 2:TAXPAYER INFORMATION
Owner lI �� First Middle Last
ang Address u m b e r u n a steet city,state,and ZIP"codej--- - ----- " 'E Some m prupenyaddns-,- - - — — - -
.S SS l 1 04g Alt N/ it fi S11/2 tan r ‘14 76, 4 a
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) • N Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sum
PART 3:CERTIFICATION
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 I Signature Date
•
Form HC 10 Supplement �•
Worksheet for March 1, 1989 Assessed Valuation
® HOMESTEAD CREDIT CALCULATION FOR 1989 DID
County Townssh i
hip (� Taxing District
Name of Ta>tpayer, 0a" 0, �Q� �� /L /�'
Parcel No. or Legal Descript on �E�y �� - / -// 3•ao�
aG- L)�
ASSESSORS CALCULATION
Land (1 acre maximum)
Other Land
Total Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
Total Land and
Improvements
True Tax Assessed R NR
Value Value Resid. Non -Res.
(1) ?d00 G%o
(2) /30o xxxxxxxx
(3) /00
(4) 30800
(5)
(6) (o0'OO.
(7) 26800
xxxxxxxx
y ,/o
I hereby rtify the above+ ue, correct, and complete.
Signa ur of As6gssor
° °' -'^ -' _ •"
'°--STANDARD DEDUCTION
CALCULATION_
IC 6- 1.1 -12 -37
provides that a person who is entitled
to a Home-
stead Credit is
entitled a Standard
Deduction. . .
Amount of Deduction Allowed
1989 pay 1990
1990 pay 1991
1991 pay 1992
Years after -
lesser of 1/2
lesser of 1/2
lesser of 1/2
1991 (same
"R" A/V or
"R" A/V or
"R" A/V or
as 1991)
$2.500
$2,000
$1,500
Signature of Auditor