HomeMy WebLinkAboutAge_GreerFarm 3t3 PeviseU 1980
Rescr�nea N1 me su�e
Boa�C oi ia. Wmm¢sioners
�
STATE
�� Township,
�STREET OR RU Al ROUTE) �QTY OR TOWN� , ,
County, Indiana; that I, (We) have owned the following described
real estate
for 1(one) year or more prior to claiming this deduction, and That I, (We)
❑ mobile home -
now reside in the premises for which this deduction is claimed:
Surviving Spouse: If application is being made by a surviving unremarried spouse: .
_ Spouse's age at time of death:
Name on property tax records if different from above:
_' .� . �
. ���
r
Legal Description or Key Number: '��T �°` �" _'�'""
BmR - �ao y���� s
�sessed value of real estate or mobile home as of March 1, current year: ��–'="��"
_
Were either you or your spouse required to file an income tax return for the preceeding year? Yes "—
No If yes, a copy of such return must be submitted for county auditor's inspection.
Other than a
s
I swear under
`Se�False Su
IL/��f
Mortgag� Contra Deduction, do you receive any other deduction from property tax?
NO ave you filed application for deduction in this County or any other county?
NO
of perjury th�t- the above and foregoing information is true and correct.
'enal`y Bel�,. (�n Receipt) � � ,�,
� �
�ao.�,