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Home My WebLink AboutDisability_LearAPPLICATION FOR CREDIT AGAINST PROPERTY �= TAXES FOR BLIND OR DISABLED PERSON / State Form 43710 (R15 / 7-25) r :die Prescribed by the Department of Local Government Finance COUNTY TOWNSHIP YEAR Gibson Ft. Branch 2026 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 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 contract buyer) Donna Lear Telephone Number (812 ) 455-0259 Email Address Is Applicant the Sole Legal or Equitable Owner? Z Yes ❑ No If No, What is the Applicant's Exact Share or Interest? If Owned with Someone Other than Spouse, Indicate with Whom If Name on Record is Different than that of Applicant, Indicate Below: Name of Contract Seller Address of Contract Seller (number and street city, state, and ZIP code) Is the Property in Question: ❑✓ Real Property ❑ Mobile Home (IC 6-1.1-7) Is Applicant Blind (as defined in IC 12-7-2-21(1))- ---- — — -- ❑✓ Yes ❑ No Is Applicant Disabled and Unable to Engage in Any Substantial Gainful Activity? ❑✓ Yes ❑ No Is the Property Used and Occupied Primarily for His/Her Residence? ❑✓ Yes ❑ No Taxing District Ft. Branch Key Number / Legal Description 26-19-19-101-000.446-026 Record Number (contract) Page Number (contract) I/We certify under penalty of perjury that the above and foregoing information is true and correct. Signaturf Applicant Address of Applicant (number and street, city, state, and ZIP code) 604 S Willard St., Ft. Branch, IN 47648 Signature of Authorized Representative Address of Authorized Representative (number and street, city, state, and ZIP code) RECEIPT FOR APPLICATION FOR CREDIT FOR BLIND I DISABLED PERSONS Name of Applicant Date Filed (mongi.. Donna Lear Name of Contract Seller 'JUN 15 -�25 Taxing District Ft. Branch Key Number / Legal Description 26-19-19-101-000.446-026 GIBSON COUNTY AUDIT OR Signature of County Auditor Date Signed (month, day, year) AUDITOR OF GIB S ON COUNTY Telephone 812.385.4927 Fax 812.386:1173 www.gibsoncounty-in.gov June 3, 2026 Mrs. Donna Lear 604 S. Willard Street Ft. Branch, IN 47648 Re: Disability Credit Dear Ms. Lear: Per our recent conversation, attached please find the disability credit application for you. Please sign the application at the area highlighted in yellow and return to me to process. Also, I have included the copy of the letter from your doctor for your files. If you should have any questions or comments, please do not hesitate to contact me. Have a great day Donna!! Sincerely, Ma Jo Wo l Property Tax & Exemption Specialist /mjw 101 N. Main Street • Courthouse • Princeton, IN 47670 APPLICATION FOR CREDIT AGAINST PROPERTY TAXES FOR BLIND OR DISABLED PERSON State Form 43710 (R15 / 7-25) Prescribed by the Department of Local Government Finance COUNTY TOWNSHIP YEAR Gibson Ft. Branch 2026 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 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 contract buyer) Donna Lear Telephone Number (812 ) 455-0259 Email Address Is Applicant the Sole Legal or Equitable Owner? ❑✓ Yes ❑ No If No, What is the Applicant's Exact Share or Interest? If Owned with Someone Other than Spouse, Indicate with Whom If Name on Record is Different than that of Applicant, Indicate Below: Name of Contract Seller Address of Contract Seller (number and street city, state, and ZIP code) Is the Property in Question: ❑✓ Real Property ❑ Mobile Home (IC 6-1.1-7) Is Applicant Blind (as defined in IC 12-7-2-21(1))? 2 Yes ❑ No Is Applicant Disabled and Unable to Engage In Any Substantial Gainful Activity? ID Yes ❑ No Is the Property Used and Occupied Primarily for His/Her Residence? ❑✓ Yes ❑ No Taxing District Ft. Branch Key Number / Legal Description 126-19-19-101-000.446-026 Record Number (contract) Page Number (contract) Me certify under penalty of perjury that the above and foregoing information is true and correct. Signature of Applicant Address of Applicant (number and street city, state, and ZIP code) 604 S Willard St., Ft. Branch, IN 47648 Signature of Authorized Representative Address of Authorized Representative (number and street, city, state, and ZIP code) RECEIPT FOR APPLICATION FOR CREDIT FOR BLIND / DISABLED PERSONS Name of Applicant Donna Lear Name of Contract Seller Taxing District Ft. Branch Key Number / Legal Description 26-19-19-101-000.446-026 Signature of County Date Filed (month, day, year) Date Signed (month, day, year) Talley Eye Institute 6149 E. Columbia St. Evansville IN 47715 Phone:812-424-2020 FAX:812-424-3000 DATE: 05/14/2026 GIBSON COUNTY AUDITOR RE: DONNA LEAR To Whom It May Concern: Donna has a permanent visual disability which qualifies her for a blind deduction. Her vision is count fingers at 2 ft in her left eye & 20/50 in her right eye. She gets injections in the left eye to help stop the progression of her retina disease. If you have any other questions please feel free to contact me. , Sincerely, 20 Andrew T. Strand DO 812-424-2020 /sl Page 1 of 1 Create Date: