HomeMy WebLinkAboutDisabilty_Knust. �� �
Fony, 756 Ite�f¢d 17:8 ' . -
Prr.2ri4�d hy �h� tilnte .
❑�nrd af 7'nx Commi�eloncn � ' �
� ^ �..� ,
� . . �./ ` V/ tJ/// V � �h�/
'� A1�PIDAVi'P I�'Ol� 13LINll Olt llISA13L�ll PI.itSOIV'S llLllUC1'lON
�ro �is r•ii.t:n tti rrt<so� oiz t�r atn�i r•,nc�� vr•,nie �vi�•x T�ii:
� COUN'1'Y AUllCPOIt BL•"C{V'liGN n1A7tCIl 1.1Nll �IAY 10, INCLUS1VIi
STA'I'� OP 11D1.�\�A _.
�'��? D�
residcs ut .......1/.�...��..�
Slrr.cc
I�'IL1NG IN1�'O1111A7'lON UN 13ACIC
duly s�vorn, i oaLh says that he or shc
........... ... ..............................................
� ouuty
Luti:ma; Lhat ��'e or shc is a Ulin1 persou (as defined in thc ]ndiana Code 12-1-1-1-(0) )
� or she is a disa� ed pei•so�i as defiiied iii the Indiana Code G-3-3-6 (a) (8) :
uu�ning rr,il estate ��•hicli ia used and occupied principally fur hiY or her residence, i1111I CIIIIi }119 OI' I1G' I.I87tI)IC �;1'099
incume (esclusive of any income not tnxed under the fed?rel �ncome Cax laws) is iiot in exceas of $7,GOU for lhe
immedintely preceding calendar year. '
'1'haC this affida��it is made for the purpose of ha��ing t�ti•o thousaud (�2,000) dollars deducLed from thc asscss-
ed valuatiun of the following described taxable property for the ye.u• 19.C�...lJ., lu wit: �....'... t/7 ................_..
� ��
(� ........................................................:..�.�o..-.../..-1/.........o�:.�(/..Czc...�......:................................../�Z.Q 4..-..�-370
bcing the applicant's principal residence pursuant to 1C Gl.1-12-T1 and G-11-12-12.
�� 4 ...� ... ..... .............................
T
Applil�
Sub i d nd n Uefore me tl�is ........� _ dny of ----� .. ............-.--.� 10-1..'"
���� .
, .......(/��..�"' ... ..........._ ...........
MA`( � 1qq0 �`
a�AUDITO�R �� S rOlt AUllInTOIt'S USL
Tutnl Asse,s . ue of Taxnble P' perty for year 12..�`IO
��J�....��� ...:.............. Towns}�ip,
C � � • t'
:lssessed . in the name of
�mount of Taxable Property lleduct
j'� f
I�iled .....1!./..1 ......... ....�........, 10....
� �.
Rcul �state $...../.�./..Q
. ,�I
oipoia ion
. .. . ..... ..... �. . �f' .
- � - ................................. ....... .. . . .. .... ....... ............
1� .....................:.......... �'et Value oI Taxa e Yro icrly �.._--...................'....
,�J ..��......�..' ... ..... ...... . ...... ..............
�����'1 nuditor
1
M.4Y ; ?'-`�0
�yy�� �s
DITO�Ft �