HomeMy WebLinkAboutAge_Pease r:.- o PROPERTY TAX FOR SENIOR CITIZEN COUNTY TOWNSHIP--
- .... . :4 PROPERTY TAX BENEFITS
' '.. - . State Fomi 43708(R9/9-08)
\Y rem Prescribed by the Department of Local Government Finance
, ..
Information contained in this document a CONFIDENTIAL pursuant to IC 6-11-12-9 and IC 6-1.1-35-9. i le
INSTRUCTIONS: g
To be Red in person or by mail with the CountyAuditor of the county where the property is located. APR 26 2013
Filing Dates: 1) Real Property:During the twelve(12)months before December 31 of the year the deduction is o be effective.
2) Mobile Homes assessed under IC 6-1.1-7 or manufactured homes not assessed as real prope c During the months
before March 31 of the year the deduction is to be effective.
See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR
Type of beneft requested(p1 eck aH that apply)
Over 65 Deduction from Assessed Valuation Over 65 Circuit Breaker Credit
Name of applicant(owner or contract buyer)
aR i- Dmatt d 6,6,,,a,_.Is applicant the sole legal or equitable If No, t 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 contract seller(number and street,city,state,and ZIP code) Is the property in question:
❑ Real property ❑ Mobile home(IC 6-1-1-7)
Taxing district Key number/Legal description Record number Page number
ca 023-13 - I/00 -6,00. 770-bay
Is the property used and occupied primarily for /
❑ Yes ❑ No
Uwe certify under penalty of perjury that the above and foregoing information is two and correct and that the applicant was a resident
of Indiana and owner of the aforementioned property on March 1, 20 •
Signature of p m /� Address of applicant (number and street,city,state,and ZIP code)
,j" 5 o3 e oo S - ' "' ,I y77ar5—
10P7.2....of authorized re•reran.-' e Address of authorized representative (number and street,cr., ate,and ZIP code)