HomeMy WebLinkAboutAge_Young APPLICATION FOR SENIOR CITIZEN COUNTY TOWNSHIP YEAR
'-`• PROPERTY TAX BENEFITS
,;ti State Form 43708(R13/4-15) N s\v^` t7 H _ LO 1
. Prescribed by the Department of Local Government Finance , V File Ma Mark
Information contained in this document is CONFIDENTIAL pursuant to IC 6-1.1-35-9.
INSTRUCTIONS:To be fled in person or by mail with the County Auditor of the county where the property is located. •
Filing Dates: 1) Real Property Form must be completed and signed by December 31 and filed or postmarked by the following January 5.
2) Mobile Homes assessed under IC 5-1.1-7 or manufactured homes not assessed as real property During the twelve(12)months .
before March 31 of the year the deduction is to be effective.
See reverse side for additional instructions and qualifications.
• Type of benefit requ-,-• .ease check all that apply) kver
If No,what is his/her exact share or intere If owned with joint tenant or tenant in common,
indicate with whom
Yes ❑ No
If name on record is differ t n that of applicant,indicate below Do all joint tenants or tenants in common reside on the property?
❑ Yes ❑ No
Name of contract seller Has applicant owned or been buying the property under recorded
contract for at least one(1)year before claiming deduction?
FIDE �,j ❑ Yes ❑ No
Address of contract seller(number and street,ary,state,and ZIP code Is the pr in question:
SEP 3 2019 Real property ❑ Mobile home(IC 6-l-1-7)
Taxing district Key number/Legal description R number Page number
21- 1 ,O 1 .3 LI 1 -026
Does applicant reside on property? GI SUN COUNTY Aalp9ethraI ue of the property as of current year as sment date(may not exceed
ID Yes L�d(No •
I/We certify under penalty of perjury that the above and foregoing information is true and correct.
Si-of tip Address of applicant (number and street dry;state and ZIP code)
/<,
nature of a ed re r �e Address of authorized representative (number and weer orb:state,and ZIP code)