HomeMy WebLinkAboutAge_TurnerAPPLICATION FOR SENIOR CITIZEN
�.,._? PROPERTYTAXBENEFITS
` -'• Slate Fortn 43708 (R91408�
P(esuibed by Ma DepartmaM of Local Govemmem Finance
Informa�ion wntained in this tlowment is CONFIDENTIAL pursuant to IC 6-1.1-12-9 and IC 6-1.735-9.
COUNN TOWNSHIP � YEAR
_ I
�
File Mar
DEC 1 S 2008
INSTRUCTIONS:
To be file0 in persm or by mail with the CounryAuditor o/ the counry where the property is located '�j� /��
Filiry Dates: 7) Real PropeRy: Dunng the Avelve (72) months 6efore December 37 o71he year (he Oeducfion is to 6e sNecf(ve16" �"
2) Mobile Hanes essessed under IC 6-1J-7 ormanNacfured homes not assessed es real m e r�-f� �
P P �N:Q18 ����'OR
6efrne March 37 of the year the tletlucfion is to be eNective.
See ieverse srde 1or atltldional inshudions arrcl qualificafions.
Typa of banefit rapuested (yoaso Mxk a0lhat appl�
I kl Over 65 Deduction from Assessed Valuation ❑ Over 65 Circuii Breaker Credit
T'
Name d pdiram /owrrer or cmtrecf DuyeQ
�-°� v"�-� , " ` .
is aooi�cam me ' legal or eQUita0le owna(1 It No, whal is hisl�er exact share or interest7 If owne0 wilh wmeone othe� than spouse,
indipte with whom
oY� ❑No
If name on record is diRerant Nan that ot apd��t ��dicate bebw
Name ol conirzd sallar (applicanl m�s1 Naw been Duyirg on cm✓act at /oasf one (iJ yea�
� Pddrass W mntratl selle� (numOw end suce+. cM. stato, and ZIP code) Is ihe omoeny in ouestior.:
X I Real prope ,ry � Mobile home QC 6-7-1-�
� `'t'
7y�Ng i ��y Key numoar / Lagal descnotia-� I Record number Page r.u:r.cer
-!l-(a-o�v3-oo�.9�Y- va-8
I5 Ne omOeM used and occupiad O�manly br 0.ssessed value ot Ihe orooerty as of March 1, cur.ent year (may no( erceed a182.d30
hisPoer iesidencei for Owr 65 tlotlucfion, w S 160.000 Ior (he Over 65 Gimmt &cakor Credit)
❑ Yes ❑ No
Wa� ihe appGCam 65 years o( age or mare on Decemher 31 of lhe year
Have you (Jed fa ar.y oLtier dedudions9 I If Yus, what aeauctior.s7
j�'ve5 ❑ Na � � .
Have you filed fw deductiona in any other counry7 It ffis, wnat counry?
� Yes � No
VWe certify under penalty ot perjury thai the above and foregoing iniormation is tr�e and wrrect and that the applicant was a resident
of Indiana and owner of the aforementioned property on March 1, 20 _
sgnetureaaoMczm /Edrassofaoplicar.t(numbmantlsVeel.ci,y,SWro.arMZlPcodc) .
m��u�,-�.�-� 10 l� •'] %. ; e e a cm .X b o�// o
Signatura W autt�wized :eoresentative Address of authorizeC raaasenta rva (numberanC s:ioet. ci,y, xate, and ZIP code)