HomeMy WebLinkAboutAge_Taylor (2)�.�°•"o AFFIDAVIT OF PERSON, 65 YEARS OF AGE OR MORE,
� a/� � t REQUESTING DEDUCTION FROM ASSESSED
'y 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
County � Township
Year
is to be effective. Deductions for mobile homes not assessed as real property JUN 0 7 �ggg
must file between January 15 and March 31. See reverse foradditional instructions(� y�
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Applicant (Owner or contract buyer)
Is applicant th sole legal or If no, what is his/her exact share or If owned with someone other than
equitable owner? �es ❑ 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
�- n District Key NumbedLegal Description Record No.
p Page No.
Is the real property used and occupied primarily Assessed value of the properfy as of March 1, current
for his/her residence? ��es O no year (may not exceed $19,000).
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Was the applicant 65 years of age or more on
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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
Si�qnature Authorized Representative (by executed Power of Attorney).
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A d�ress� f�plican�� � Address of Representative �
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