HomeMy WebLinkAboutAge_Stoll F.5\ ,,,r_ -- )2 31 2S ----
<; -..,rfcl.. APPLICATION FOR SENIOR CITIZEN COUNTY TOWNSHIP YEAR
cf lot
. PROPERTY TAX BENEFITS 1
0 2� 2/02,3_
... ,...,
State Form 43708 (R19 /7-25) 3, le
'•l• - Prescnbed 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 mail 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.
Name of Applicant (owner or contrat' buyer) Telephone Number ail Address
iik0:01r\ S-61\ ' ( )
Is Applicant the Sole Legal or Equitable Owner? If No, What is A li n ct S or Interest? If Owned with Joint Tenant or Tenant in Common, Indicate with Whom
Yes El No
If Name on c rd is Different than Applicant, Indicate B-elo -- D Do All Joint Tenants or Tenants in C•mmon Reside on the Property?
Ill Yes ❑ No
Name of Contract Seller 0 2025 Has Applicant Owned or Bought the 'rop-rty Under Recorded Contract
for at Least One(1)Year before Claimin• Cr-.it?
�I Yes ❑ No
Address of Contract Seller (number and street. city, state, and ode Is the P operty in Question:
GigSON CO tv '�� Real Property ❑ Mobile Home (IC 6-1.1-7)
Taxin District Key Number / Legal Descn 1)11 r on Record Number Page Number
2_,S ,---
\ -\"Sy\ __(,_127_01— t —.012. "7 '72 _ria.
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 es ❑ No
preceding calendar year) and does Applicant qualify for the homestead standard deduction in the current year?
Is the Applicant 65 Years of Age or More on December 31 of the Year Prior to the Year Taxes are First Due& Payable? ( Yes ❑ No
Si natur rof A licant Date (mont y.sioy. ye r)
2 0 2s- •
ress of A plicant (number and street. city, state, and ZIP code)
y (AD ;gn e✓son S1` k '-ic)n - 311 .
Signature of Authorized Representative Date (month. day, year)
Address of Authorized Representative (number and street, city, state, and ZIP code)
Signs re of C ty A ditor Date (month, day, ye r)
(c....,:;) )2- /o zs - ,
DISTRIBUTION: Original — County Auditor: File-Stamped Copy - Taxpayer