HomeMy WebLinkAboutDisabilty_Spindler (2) I
fW' a APPLICATION FOR CREDIT AGAINST PROPERTY
t!'ijj" . il TAXES FOR BLIND OR DISABLED PERSON COUNTY TOWNSHIP YEAR
State Form 43710 (R15/ 7-25) �� n0 �n S�
• *i Prescribed by the Department of Local Government Finance Y 1 L
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, signed, and filed 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.
Name of Applicant (owner or contract buyer)
Owned with Someone Other than Spouse, Indicate with Whom
❑ Yes E No 50 Yo j Q
Nick_ keY-Q,rd_
If Name on Record is Different than that of Applicant, Indicate Below:
Name of Contract Seller ' Address of Contract Seller(number and street, city, state, and ZIP code)
Is the Property in Question:_ Is Applicant Blind (as defined in IC 12-7-2-21(1))?
L❑Real Property ❑ Mobile Home (IC 6-1.1-7) ❑Yes o
Is Applicant Disabled and Unable to Engage in Any Substantial Gainful Activity? Is the Property Used and Occupied Pnmarily for His/Her Residence?
Yes ❑ No Yes ❑ No
Taxing District Key Number/ Legal Description Record Number(contract) Page Number (contract)
'- Twar-. • n,.51D1 2g 22-0 -)vD --CO1, % - 1 -
I/We certify under penalty of perjury that the above and foregoing information is true and correct.
ignature of Applicant Address of Applicant (number and street, city, state, and ZIP code)
7
2
De5
r , 476, 170)--,
hl 1-i--7 Lo c,
Signature of Authorized R entative Address of Authorized Representative (number and street, city, state, and ZIP code)
RECEIPT FOR APPLICATION FOR CREDIT FOR BLIND f DISABLED PERSONS
Name of Applicant Date Filed (month, day, year)
ij(11C*1 (1 4°Li Id kr FILED
Name of Contract Seller
Taxing District DEC 1 5 2025
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Key Number /Legal Description
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2 - 221 ) ' ) of --' D7)/ , 76 3 -b4 GIBSON COUNTY AUDITOR
Signature of County Auditor n Date Signed (month, day, year)
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Notice of Award
isuIililili1Ii1'II,iI„IIIflhIIIIII1I(IIIIfill1IIIIIIII1IIillI,II
1983 2 MB 0.419 T13 MAAD29G PL1 S296 M3 PC7 16100
1989 TIMOTHY C SPINDLER
viva 2085 W 1125 S
HAUBSTADT, IN 47639
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You are entitled to monthly disability benefits beginning June 2015.
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