HomeMy WebLinkAboutAge_McCartydd``��'��� AFFIDAVIT OF PERSON, 65 YEARS OF AGE OR MORE,
� REQUESTING DEDUCTION FROM ASSESSED
�y VALUATION State Form 43708.(1-90) Prescribed by the
.,°;• ' State Board of Tax Commissioners
County � Township� Year
Instructions for filing: g' �-�°""� File Mark
To be filed in person or by mail with the County Auditor of the County where the � e� 1996
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 �' S
must file between January 15 and March 31. See reverse for additional instruction��pjTO�
and qualifications.
Applicant (Ow r or contract buyer)
L
Is applicant th ole legal or If no, what i is%her exact share or If owned with someone other than
equitable owner? ❑ yes rJ 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
� ing District Key NumbedLegal Description Record No.
— �j � Page No.
Is the real property used and occupied primarily Assessed value of the property as of March 1, current
for his/her residence? O yes O no year (may not exceed $19,000).
Was the applicant 65 years of age or more on
'
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? 1
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
�qnature Authorized Representative (by executed Power of Attorney)
of Applicant Address of Representative
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