HomeMy WebLinkAboutAge_Saulmon 'n.P APPLICATION FOR SENIOR CITIZEN COUNTY TOWNSHIP YEAR
- 1 PROPERTY TAX BENEFITS
State Fonn 43708(R9/9-08)
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0 i•,. Prescribed by the Department of Local Government Finance f _
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Information contained in this document is CONFIDENTIAL pursuant to IC 6-1.1-12-9 and IC 6-1.1-35-9. r 1 1 •tjt
INSTRUCTIONS: APR 2-2 -2013
To be filed in person or by mail with the County Auditor of the county where the property is located.
Filing Dates: 1) Real Property:During the twelve(12)months before December 31 of the year the deduction is to a effective.
2) Mobile Homes assessed under IC 6-1.1-7 or manufactured homes not assessed as real props f+2)'rnoaths
before March 31 of the year the deduction is to be effective. GIBBON COUNTY
See reverse side for additional instructions and qualifications. AUDITOR
Type of beneft requested(please check an that apply)
Over 65 Deduction from Assessed Valuation I Y Over 65 Circuit Breaker Credit
Name of applicant or contra buyer)
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Is applicant the sole legal or equitable owner? If No,what is his/her exact share or interest? If owned with someone other than spouse,
indicate with whom
❑ Yes ❑ No
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 contrail seller(number and street,city,state,and ZIP code) Is the property in question:
❑ Real property ❑ Mobile home(IC 6-/-1-7)
Taxing d'
ysk rid Key number I Legal description I Record number Page number
Is the property used and occupied primarily
Have you filed for any other deductions? If Yes,what deductions?
❑ Yes 0 N
Have you filed for deductions in any other county? If Yes,what county?
❑ Yes ❑ No
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the applicant was a resident
of Indiana and owner of the aforementioned property on March 1,20 .
Signal y of p iced Address of applicant (number and street,city,state,and ZIP code)
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SI'4nature of authorized representative Address of authorized representative (number and street,city,state,and ZIP code)