Loading...
HomeMy WebLinkAboutAge_Hartley (4) ��1 "� le1 - Y. .- �. ''4 APPLICATION FOR SENIOR CITIZEN COUNTY TOWNSHIP YEAR *ri 'lt, PROPERTY TAX BENEFITS Gibson Princeton 2026 State Form 43708(R19 1 7 25) Prescribed by the Department of Local Government Finance _ Information contained in this document is CONFIDENTIAL pursuant to IC 6-1.1-35-9. I Instructions To be filed in person or by mail with the county auditor of the county where the property is located_ FilingDate. 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 qualificat►ons Type of Benefit Requested (Please check all that apply) Q Over 65 Credit ❑J Over 65 Circuit Breaker Credit Name of Applicant (owner or contract buyer) Telephone Number Email Address Joyce Hartley ( 812 ) 664-7511 Is Applicant the Sole Legal or Equitable Owner? If No. What is Applicants Exact Share or Interests If Owned with Joint Tenant or Tenant in Common, Indicate with Whom ©Yes ❑No if Name on Record is Different than Applicant. Indicate Below Do All Joint Tenants or Tenants in Common Reside on the Property? El Yes ❑ No Name of Contract Seller Has Applicant Owned or Bought the Property Under Recoeled Contract br at Least One(1)Year before Clamng Credrt7 N/A Dyes ❑ No Address of Contract Seller (number and street, city, state, and ZiP code) Is the Property in Ouestion: N/A D Real Property ❑ Mobile Home (IC 6-1 1.7) T axing f)istnct Key Number/Legal Description Record Number Page Number Princeton 26-12-07-102-001 .099-028 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 El Yes ❑ No preceding calendar year)and does Applicant quality 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? 0 Yes ❑ No Applicant's Date of Birth(month, day, year) If Filed by a Surviving, Unmarried Sparse.What Was the Spouse's Age at the Time of Death? 11 /8/1948 Source of income Amount of income Adjusted Gross Income (AGI)of applicant. applicant and spouse.or applicant ` and joint tenants or tenants in common, as applicable (For Over 65 Credit, AG! 2024 $ 2 310 may not exceed-(1) $60,00�0 for indnnduals who filed a single return;(2)S70,000 fa individuals who filed a joint return, or(3) $70.000 for ndividuals and al others that - share ownership as jor'rt tenants or tenants in common. For the Over 65 Crcuut 2025 S 77727 Breaker Credit, AG!may not exceed (1) S60,000 liar indrv►dt� who filed a single return;or(2)$70.000 for individuals who filed a pint return with the ndivi ual's - -- spouse)[Beginning with Pay 27, income amounts for the Circuit Breaker Credit are annually adjusted.]See reverse for details. TOTAL $ I/V11e certify under penalty of perjury that the above and foregoing information is true and correct Signature of Ap t � Iz plcier a Date (month, day, year) /)(:(-5 . Qb�. cu ( 10 0 �.6 Address of Apgt(ciint (r r and street, city, state, aril ZI'�••. •) 7 627 N. Main St. , Princeton, IN 47670 Signature of Authorized Representative Date (month, day, year) Address of Authorized Representative (number and street, city, state, and ZIP code) E-1 I L Er) Signature of County Auditor Date (month, day, year) \Jec\ -0__A- ()--a--(1.(,__k. Cit---NALA_ _Ak_ .)a._ / te\Ck ..e )_,, j / & LO , E F E B 1 1 2026 DISTRIBUTION: Original - County Auditor; File-Stamped Copy - Taxpayer (t) a. yt GIBSON COUNTY AUDITOR