HomeMy WebLinkAboutAge_Montgomery (2)APPLICATION EaR SENIOR CITIZEN
PROPERTY TAX BENEFITS
a r State Form 43708 (R1917-25)
7e�:,.../ [ Prescribed by the Depaitrnent of Local Govertvnerrt Finance
Information contained in this document is CONFIDENTIAL pursuant to IC 6-1.1-35-9.
COUNTY
TOWNSHIP
YEAR
r (o'jat/
Pam.
Instructions. To be fled 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)
Q✓ Over 65 Credit Over 65 Circuit Breaker Credit
- - -
Name of Applicant (owner or contract buyer)
Telephone Number
Email Address
Robin Montgomery
(e—) 812-459-4385
Robinmonty27@gmail.com
Is Applicant the Sole Legal or Equitable Owner? if No,1+Ykrat is Applicant's Exact Share or Interest?
IF Owned Wth Joint Tenant or Tenant in C immon, Indicate with Whom
✓Q Yes ❑ No
If Nam on Record is Different than Applicant, Indicate Below
Do All Joint Tenants or Tenants in Common Reside on the Property?
-
u Yes Q No
Name of Contract Seger - -
Has Appk wt Owned or Bought the Property Under Recorded Contract
for at Least One (1) Year before Claarrng Credit?
QYes ❑N
Address of Contract Seger (number and street, city, state, and ZIP code)
Is the Property in Question:
✓ Real Property Q Mobile Home (IC 6-1.1-7)
T District
Key Number I Legal Description
Record Number
Page Number
24-19 -69-3o1-6D1- S9 --D - - --
- - ----
- - ---
Did Applicant quality for the homestead standard deduction in the preceding year (or was applicant married at the time of death to
indivkhors homestead in the immediately
0 Yes
Q No
a deceased spouse who qualified for a homestead standard deduction for the property
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?
Q Yes
Q No
Appiiranf's Date of Birth (month, day, year) -
If Fled by a Surviving, Unmarried Space, What Was the Spouse's Age at the Torre of Death?
03/15/1958
-
Source of Inwme
- -
Amount of Income
Adjusted Gross Income (AGQ of applicant applicant and spouse, or ap f
— --- -
and joirit tenants or tenants in common, as applicable (For Over 65 Credit AGI
for indwJualsModa=#ereturn,(2)$70,OWfor
social security
$ 1200.
may not exceed _(1)$60;000who
- - -
-
irxfrtTrtuals who fled aioirit return;: or (3) $70,WO for indn fs arid aU others that
-
share ownerst» p as joint tenants ortenarls in cor7irra7 Forthe Over 65 Grant
Breaker Credit AGI rtrayrot exceed (1) $60,000 for indNoWafs who Ned a arigte
� De5 tfur-F),
$
return, or (2) $70,000 for individuals tvho filed a joint return vvdh the indivrdual's-
TOTAL
$ .{ y j� ("�
2 0 0
spouse-) j8erp wV with Pay 27, iricom arrmrunts forthe Cadet f1makerCreditare
See reverse fordetafs.
annually aided-1
1 V . V
INVe certify under penalty of perjury that the above and foregoing information is true and correct.
Signature
fJ a (gym, day, y—)
1-A�rofApplicant(n
Ci4 15 /2026
rand , dry, state, and ZJP cc*)
CV
1108 E War t Princeton IN,47O7O Al 11
-
Signature of Authorized Representative -
Date (month day, year)
-
Ad&-ess of Authorized Representatrve (nwnber and street, dry state, and ZIP oode) - -
Y C�
O
- - - - -
Sig uo-e of Cotrtty Audtor
Date (month, m_
1J
DISTRIBUTION: Original. - County Auditor, File -Stamped Copy - Taxpayer
Robin Montgomery
11013 6 Water St Princeton IN, 4767a
612-459-4385
April 15, n
Auditor of Gibson County
Treasure
Dear Auditor OR Treasure, Of Gibson County
1 wanted to apply 1 this payment towards the amount due,
M records show the amount due isi 6n$ome I have with no
Y
SOCIAL SECURITY Benefits Is the funds are limited ,with the d
other income to speak of ,so my
one so high, here is a check for two 60ndre
prices that have g 438,
dollars, that would leave a balance due
at the first of
and fifty figure out how wilt pay balance
I will some how .
the month of May 2026, ut something like power ,water
Even if it means that I go with o
ernet or fuel ,In order to satisfied amount in full
thank for understanding
.food or rnt this time,m situation during
Y
n at one of the highest level don't know ie how � haer
With inflation
people are paying these taxes, guess maybe a little
time .
sssloorelyf