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HomeMy WebLinkAboutAge_McCandless 'On 1131 / APPLICATION FOR SENIORCGIcy / (, ,O,rKs IZEN COUNTY TOWNSHIP YEAR PROPERTY TAX BENEFITS State Form 43708(R 19/ 7-25) 702� � Gibson Pa to ka Pr'escnbed by tine Department of Local Government Finance - Information contained in this document is CONFIDENTIAL pursuant to IC 6-1 1-35-9 Instructions To be hied 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. Type of Benefit Requested (Please check all that apply) ❑Over 65 Credit Over 65 Circuit Breaker Credit Name of Applicant (owner or contract buyer) Owned with Joint Tenant or Tenant in Common, Indicate with Whom 0 Yes ❑No If Name on Record is Different than Applicant, Indicate Below Do Al Joint Tenants or Tenants in Common Reside on the Property's 'ces ❑ No Name of Contract Seller Has Appiecant Owned or Bought the Prcperty Under Recorded Contract for at Least One(1)Year before Claming Credit? 0 Yes ❑ No Address of Contract Seller (number and street, aty, state, and ZIP code) Is the Property in Question © Real Property ❑Mobile Home(IC 6-1.1-7) Taxing District Key Number/Legal Descrhplion Record Number Page Number .J2-)D4-0LbAt- - I °-* OO C C • tS (12 - Did Applicant qualify for the homestead dard 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 rndrvrdual's homestead property in the immediately Q Yes ❑ 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 Fist Due& Payable' Q Yes ❑ No Sign e of Apph t Date (montn. day: year) iti 01 /09/2026 A ess of Applicant (number and street, city, state, and ZIP code) 3248 E State Road 64, Princeton, IN 47670 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, clay, y i 9I LE D JAN 0 9 2026 ' DISTRIBUTION: Original - County Auditor, File-Stamped Copy - Taxpayer t� a. at,&724Z GIBSON COUNTY AUDITOR