Age_Snapp CO'llirK__ Res • -'
et3Form
APPLICATION FOR COUNTY TOWNSHIP YEAR
**, PROPERTY TAX BENEFITS
.- - State Form 43708(R18/9-24)
IMO Prescribed by the Department of Local Government Finance
Information contained in this document is CONFIDENTIAL pursuant to IC 6-1.1-35-9.
INSTRUCTIONS: To be filed in person or by mall with the county auditor of the county where the property is located.
Filing Date: Form must be completed,signed,and filed with the county auditor or postmarked by January 15 of the calendar year in
which the property taxes are first due and payable.
See reverse side for additional instructions and qualifications.
Type of Benefit Requested(Please check all that apply)
D<Over 65 Deduction from Assessed Valuation [11-‘165 Circuit Breaker Credit
Name of Applicant(owner or contract buyer) Telephone Number Email Address
_v—te
V`{X, Qicvl a ( 4-- i-,&p.p.
Is Applicant the Sole Legal or Equitable Owner? If No,What is His/Her Exact Share or Interest? If Owned with Joint Tenant or Tenant in Common,Indicate with Whom
r —
IL14s C No .
If Name on Record is Different than Applicant,Indicate Below Do All Joint Tenants or Tenants in Common Reside on the Property?
Li No
Name of Contract Seller Has Applicant Owned or Bought the Property Under Regpcded Contract for at Least
One(1)Year before Claiming Deduction? Yes 0 No
Address of Contract Seller(number and street,city,state,and ZIP code) Is the lyeperty in Question:
IrReal Property El Mobile Home(IC 6-1.1-7)
Taxing District Key Number I Legal Description Record Number Page Number
U -- 11 ---. S— (D°— CO -'wo-oari
Does Applicant Reside n Property? u Assessed value of the property as of current year assessment date(May not exceed$240,000 for Over 65 Deduction or
$199,999[counting just the homestead site]for the Over 65 Circuit Breaker Credit received before January 1,2020,$199,999(all
Indiana real property]for the Over 65 Circuit Breaker Credit initially applied for after December 31,2019 and before January 1,2023,
Yes E No and$239,999[
0 Yes
I/We certify under penalty of perjury that the above and foregoing information is true and correct.
of p ic Levi
w' 7
Date(month,day,year)
Signature ix4d e
- — -- r'
Addr ss of Applica t(number and street,city,state,and ZI c e
aN.- 31 - Olt D .)
Signature of Authorized Representative Date(month,day,year)
Address of Authorized Representative(number and street,city,state,and ZIP code)
Signature of County Auditor Date(month,
, .
•-n-u_vo_ 1 .Q 0( . ___)
MAY 05 2025
DISTRIBUTION: Original—County Auditor;File-Stamped Copy—Taxpayer
Cli
A•di.a.Le a. P(r.zda •
GIBSON COUNTY AUDITOR
'-'-'-':a. APPLICATION FOR SENIOR CITIZEN COUNTY TOWNSHIP YEAR
PROPERTY TAX BENEFITS F
State Form 43708(R16/1-23)
�> </ To 4stitP
'`! =� Prescribed by the Department of Local Government Fria.ce j 5On -
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 flied with the county auditor or postmarked by the following
January 5 of the calendar year in which the property taxes are first due and payable.
See reverse side for additional instructions and qualifications.
Type of Benefit Requested(Please check all that apply)
" Over 65 Deduction from Assessed Valuation V
65 Circuit Breaker Credit
Name of Applicant(owner or contract buyer) Telephone Number Email Address
/'lic6el f 30 c t_e_ Snoop ()6Q ) Co 77
Is Applicant the Sole Legal or Equitable Owner? If No,What is His/Her Exact Share or Interest? If Owned with Joint Tenant or Tenant in Common.Indicate with Whom
✓fes No
If Name on Record is Different than Applicant,Indicate Below Do All Joint Tenants or Tenants in Common Reside on the Property?
.7_;<:es 7 No
Name of Contract Seller Has Applicant Owned or Bought the Property Under Recorded Contract for at Least
One(1)Year before Claiming Deduction? —°'YQS E No
Address of Contract Seller(number and street.city.state.and ZIP code) Is the Property in Question:
al Property Mobile Home(IC 6-1.1-7)
Taxing District Key Number I Legal Description Record Number Page Number
04e2g6,_ T,,wA.Sh;e - 11-3s -30d-cot coo-DQ-7
Does Appl,can . esdde Property? Assessed value of the property as of current year assessment date(May not exceed S240,000 for Over 65 Deduction or
S199.999[counting just the homestead site(for the Over 65 Circuit Breaker Credit received before January 1.2020 and S199.999(al
es _- No Indiana real property]for the Over 65 Circuit Breaker Credit initially applied for after December 31.2019.)See reverse for details.
Is the Applicant 6 ar of Age or More on December 31 of of the Year Prior
Yes do F�
Have You Filed for duction in Any Other County? If Yes, hat County? Y).24 /-el& a ura/-
GIBSON COUNTY AUDITOR
❑Yes Flo
IANe certify under penalty of perjury that the above and foregoing information is true and correct.
Signature f Appl ant Date(month day,year)
Address of Applicant(nu ber and street,city.state.and ZIP code,l
16Il9 J c( ___r
t2)31 W 'ioo S rr;nC&I-or, A/ y >G 70 y��J2o 2y
Signatur Authorized Representative !Date( onth y.year)
Addre uthorized Representatives( urr er and street.city,state.and ZIP code)
Signature of County Auditor I Date(month. day.year)
q.,/
\\P..
DISTRIBUTION: Original—County Auditor; File-Stamped Copy—Taxpayer \,....,ty)1