HomeMy WebLinkAboutAge_Morrision ��R� APPLICATION FOR SENIOR CITIZEN COUNTY TOWNSHIP YEAR
k PROPERTY TAX BENEFITS I
g,'� State Form 43708(R15/1-20) t v� D /1� z�
' Prescribed by the Department of Local Government Finance 1 `� 1 L
File Mark
Information contained in this document is CONFIDENTIAL pursuant to IC 6-1.1-35-9.
INSTRUCTIONS: To be filed in person or by mail with the County Auditor of the county where the property is located.
Filing Date: Form must be completed and signed by December 31 and filed with the county auditor or postmarked by the following
January 5 of the calendar year in which the property taxes are first due and
seller Has applicant owned or been buying the property under recorded contract for
at least one(1)year before claiming deduction?
❑Yes ❑No
Address of contract seller(number and street,city,state,and ZIP code) I property in question:
Real property ❑Mobile home(IC 6-1-1-7)
Taxing district Key number/Legal description / \ Record number Page number
Or+ b5--y�, -tOD-OD1 .360 -0273-
Does applicant reside on p p ? Assessed value of the property as of current year assessment date(May not exceed$200,000 for Over 65 Deduction or$199,999
Yes ❑No (counting just the homestead site]for the Over 65 Circuit Breaker Credit received before January 1,2020,and$199,999 fall Indiana real
property]for the Over 65 Circuit Breaker Credit initially applied for after December 31,2019.)See reverse for details.
Is the applicant 65 yea of ag or more on Dece ber 1 of the year
$
individual's spouse.)See reverse for details.
Have you filed for any other de c' ns? If Y I' deductions?
Yes ❑No J
Have you filed for deductions in an ther un ? If Yes, hat county?
❑Yes o
I/We certify under penalty of perjury tha the above and foregoing information is true and correct.
\/ Signal of applicant Date(mon d year)
Address o plicant (number and street,city,state,and ZIP code)
2.1 N s g— 6' s- ef ) -)v1 -1— �6 .
ignature of authorized representative ) Date(month,day,year)
Address of authorized representative (number and street,city,state,and ZIP code)
Signature o, f Coun Audito '\ Datero th,d ,year) k
1 , Niv
FILED
MAR 7 2024
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GIBSON COUNTY AUDITOR
DISTRIBUTION: Original-County Auditor; File-Stamped Copy-Taxpayer