Homestead_Carpenter • STATE FORM 15!re 1P:.0-0l wzASUREA KAN 1IA
AITROVEO BY SIATEBrMW OF M:COU TE.am PRfATmm BY fir DEPARTNIENTOr L0.ALaWELVNFA'r FINANCE M 6-I.I-2.74a
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standout deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud homestead fraud causes higher tax bills for all:therefore.
• HEA 1344--2IX9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and can only he accessed by authorized counts officials.'The Ikpannlent 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
Carpenter, Steven P Sr/Laura J
SR 56
IIazIeton IN 47640 U�
193 C
Steven P/Laura J Carpenter Sr - D
881 E S.R. 56 State Parcel Number Legal-Description
Hazleton IN 47640
26-02-58-0177--0000.136-018 010-00136-00 PT MD 17-1-10 1.35 AC
•
Spouse First Middle Last
i
LALi to 3 o C u e oe ►v fee
Mailing Address(Number and street,city,state.and ZIP cock) .' me as pm nv address
8 CI E S GG(Q NAz l e. h I.° tt.-J ti-7 4 1-1-0
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is tole 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
PART 4:ADDITIONAL INFORMATION
FtescuOeJ By Stele Koala of ]a, Uununiss.uncis
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR lg-9—q
SEE BACK FOR FILING ItJSTRUCI-IONS
_
�
occupied ag our principal
place of residence the following
described real property for
which a��Hoomestead Property Tax Credit is
hereby being claimed:
�f
GY(O - Qo� -
�' Q� `-
I, (We) owned
1J
❑ are buying under contract
❑ have a beneficial interest in the
taxpayer
Property Description in
County
Township
Taxing District (City, Town, Township):
IJk 5l
Parcel Number'
or legal description
shown on tax
statement:
If buying on
flee simple oxneq
Contract recorded in Recorders Office - Record No. Page
J
It any portion of thUNder5iMucture or the land, not exceeding one (1) acre that immediately surrounds that
structure is used_to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
-Signature
certify the above statement is true, correct and complete
Street AQOIeSs
County Iownship
State ana Z.e eooe
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
FOR ASSESSOR'S USE ONLY -
_and not exceeding 1 (one) acre immediately
wrounding residential improvements
)ther Land
Total Land
Residential Improvements
Dwelling
Garage
Total
Other rovements
Totatrovements - Line (6) plus (7) equals (8)
I hereby certify the above is true. correct. and complete.
True Cash
Value
(1) 2zo0
(2)
(3)
(4)
(s)
(6) oi�OD
(7)
(8) - --
Signature of Assessor
ACTION BY AUDITOR -
Assessed
Valuation
I®
Homestead
Valuation
'7 o p