HomeMy WebLinkAboutAge_Bledsoe `7,1 "a. APPLICATION FOR SENIOR CITIZEN COUNTY TOWNSHIP YEAR
'- c PROPERTY TAX BENEFITS
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State Form 43708 (R 19/ 7-25) i&'C�r v -71;k4- 02C----
'..• Prescribed by the Department of Local Government Finance
Information contained in this document is CONFIDENTIAL pursuant to IC 6-1 .1-35-9.
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Instructions: To be filed in person or by mail with the county auditor of the county where the property is located. F ILE
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. C Q
See reverse side for additional instructions and qualifications. OC C O V 2025_tk `t
Type of Benefit Requested (Please check all that apply) ,/ .\
Over 65 Credit ,,�. Over 65 Circuit r itQ
pf ((Miner or contract buyer) el phone Number Email Address �B�ON llt4' 241
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AUDITOR
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s Applic e Sole Legal or Equitable Owner?,. If No, What is Applicant's Exact Share or Interest? If Owned with Joint Tenant or Tenant in Common, Indicate with Whom
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Yes ❑ No
If Name on Record is Different than Applicant, Indicate Below Do All Joint Tenants or Tenants in Common Reside on the Property?
0 Yes ❑ No
Name of Contract Seller Has Applicant Owned or Bought the Property Under Recorded Contract
for at Least One (1)Year before Claiming Credit?
,Yes ❑ No
Address of Contract Seller (number and street, city, state, and ZIP code) Is the Property in Question.
tEi Real Property ❑ Mobile Home (IC 6-1.1-7)
T= ' District Key Number/ Legal Description Record Number Page Number
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Did Applicant qualify for the homestead standard deduction in the preceding year (or was applicant married at the time of death to
a deceased spouse who qualified for a homestead standard deduction for the individual's homestead property in the immediately ,J Yes ❑ No
preceding calendar year) and does Applicant qualify for the homestead standard deduction in the current year?
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I/We certify under penalty of perjury that the above and foregoing information is true and correct.
Si ture of cant eta41-, Date (month, day, yea ) -
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Address of Appli t (number and street, city, st nd ZiP code)
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Signature of Authorized Represe tative Date (month, y year)
Address of Authorized Representative (number and street, city, state, and ZIP code)
S>inraunty Auditor ALitye - Date (month, day, ye )
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DISTRIBUTION: Original — County Auditor; File-Stamped Copy — Taxpayer