HomeMy WebLinkAboutAge_Houchinsdd•`��"At AFFIDAVIT OF PERSON, 65 YEARS OF AGE OR MORE,
� REQUESTING DEDUCTION FROM ASSESSED
' VALUATION State Form 43708 (1-90) Prescribed by the
�^•'• State Board of Tax Commissioners
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Instructions for filing:
To be filed in person or by mail with the County Auditor of the County where the
property is located during the 12 months before May 11 of the year the deduction
is to be effective. Deductions for mobile homes not assessed as real property
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County � Township
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Year
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JUL 15 1996
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and qualifications. �,�, yJ ,�, �s
AUDITO
A p ica t Owner or c n ract buyer)
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Is applicant e sole leg .or�' If no, what is his/her exact share or If owned with someone other than
equitable owner? yes O no interest? spouse, indicate with whom.
If name on record is different than that of applicant, indicate below:
Name of contract seller (Applicant must have been buying on contract at least one (1) year.)
Address of contract seller
T�xing District Key Number/Legal Description 'j5p 16 Record No.
. 13a.�„�.c.. _ r�p�3$ � Page No.
Is the real property used and upied primarily
Have you filed for any other deductions? If yes, what deductions?
Have you filed for any deductions in any other county? If yes, what county?
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
cant was a resident of Indiana and owner of the aforementioned property on March 1, 19
Signature Authorized Representative (by executed Power of Attorney)
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Address of A licant Address of Representative ;
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