HomeMy WebLinkAboutAge_Barnsteadta• "'"o� 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
.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 1.1 of the year the deduction
is to be effective. Deductions for mobile homes not assessed as reai property
mustfile between Januarv 15and March 31. See reverseforadditional instrur.tions
0
�AY 1 � 1996
and qualificatioris. �) ,� ,(�', r�'�4"-S
AUDITOR
Appli nt (Own r o ontract.buy r)
Is appli nt the sole lega or If no, what is his/her exact share o� 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
T xing District Key Number/Legal D cription Record No.
- 0 �a �o. I Page No.
Is the real pr erty used and occupied primarily As essed value of the property as of March 1, current
for his/her residence? _k.yes�0 no year (may not exceed $19,000).
5��- I�o
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?
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
Signat Authorized Representative (by execufed Power of Attorney) Y�
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Address of Ap lic t • Address of Representative
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