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HomeMy WebLinkAboutAge_WheatonAPPLICATION FOR SENIOR CITIZEN PROPERTY TAX BENEFITS State Form 43708 (R20 / 5-26) Prescribed by the Department of Local Government Finance Information contained in this document is CONFIDENTIAL pursuant to IC 6-1.1-35-9. COUNTY TOWNSHIP YEAR 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. IV Type of Benefit Requested (Please checkall that apply) 2 Over 65 Credit 'EOv`� er 65 Circuit Breaker Credit Name of Applicant (owner or contract buyer) Telephone Number Email Address Is Applicant the Sole Legal or Equitable Owner? ®Yes If No, What is Applicant's Exact Share or Interest? If Owned with Joint Tenant or Tenant in Common, Indicate with Whom ❑ No If Name on Record is Different than Applicant, Indicate Below Do All Joint Tenants or Tenants in Common Reside on the Property? '® L7 Yes ❑ No Name of Contract Seller Has Applicant Owned or Bought the Property Under Recorded Contract for at Least One (1) Year before Claiming Crt? /edi [es El No Address of Contract Seller (number and street, city, state, and ZIP code) Is the Property in Question: ©-Real Property El Home (IC 6-1.1-7) Taxing District Key Number/ Legal Description Record Number Page Number Ql0-aO-pa-DID =0_0 . �� l-00 Does Applicant reside on the real property, mobile home, or manufactured home? 2Yes ❑ No 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 for a homestead standard deduction for the individual's qualified 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 First Due & Payable? ® Yes ❑ No Applicant's of Birth month, day, year) If Fled by a Surviving, Unmarried Spouse, What Was the Spouse's Age at the Time of Death? (Date Adjusted Gross Income (AGI) of applicant, applicant and spouse, or applicant Source of Income Amount of Income and jointtenants ortenants in common, as applicable (ForOver65Credit, AGI may not exceed: (1) $60, 000 for individuals who filed a single return; (2) $70, 000 for $ u q 3 individuals who filed a joint return; or (3) $70,000 for individuals and all others that ! ® share ownership as joint tenants or tenants in common. For the Over 65 Circuit Breaker Credit, AGI may not exceed: (1) $60, 000 for individuals who filed a single return; or (2) $70, 000 for individuals who filed a joint return with the individual''s (1 O C>unR $ spouse.) [Beginning with Pay 27, income amounts for the Circuit Breaker Credit are annually adjusted.] See reverse for details. TOTAL $ Me certify under penalty of perjury that the above and foregoing information is true and correct. Signature Applicant Date (month, day, year) n _ Address of Applicant (number and street, city, state, and ZIP code) rj ti Signature of Authori Representative D (month, day, vL-,d - V JU Address of Authorized Representative (number and street, city, state, and ZIP code) J U N 17 2026 Signature of County Auditor , Date (month, day, year) / v / 1` - / 7LC� GG. J/Y kintgJ DISTRIBUTION: Original — County Auditor; File -Stamped Co GIBSON COUNTY AUDITOR g� ty p Copy —Taxpayer