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HomeMy WebLinkAboutDisability_KraayI APPLICATION FOR CREDIT AGAINST PROPERTY TAXES FOR BLIND OR DISABLED PERSON State Form 43710 (R15 / 7-25) lard `� Prescribed by the Department of Local Government Finance 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, 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) Telephone Number Email Address kAA, (FU ) b39-9391) 15-h)jQh' Is Applicant thGfSole Legal or Equitable Ow r? If No, What Is the Applicant's Exact Share or Interest? If Owned with Someone Other than Spouse, Indicate with Whom Yes ❑ No 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: Is Applicant Blind (as defined in IC 12-7-2-21(1))? Real Property ❑ Mobile Home (IC 6-1.1-7) ❑Yes \'ENo Is Applicant Disabled and Unable to Engage in Any Substantial Gainful Activity? Is the Property Used and Occupied Primarily for His/Her Residence? Yes ❑ No I UETY—.. ❑ No Taxing District �40' Key Number/ Legal Description Record Number (contract) Page Number (contract) b��0[ 2�a-©a' 6-161 IIWe 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) r 23 LV Y74r -I&o Signature of Authorized Representative Address of Authorized Representative (number and et, city, state, and ZIP code) RECEIPT FOR APPLICATION FOR CREDIT FOR BLIND I DISABLED PERSONS Name of Applicant 01�rll2fbdl(EL /612- Date Filed (month, day, year) FILED Name of Contract Sailer a -- I Taxing District Key Number / Legal Description 26-/4-r9- Ioz-3z";,--00'y Signature of County Auditor AUG 2 6 2026 GIBSON COUNTY AUDITOR Date Signed (month, day, year) 'fUSA Social Security Administration 1111111 • Benefit Verification Letter Date: July 6, 2026 BNC#: 26UG299G33344 REF: A, DI tI11�uII�IO�lllil'1I1�����1��I��IRlllell`�I���IIIu�I�I�ldl��ll T32 P2 191344-10-2-1 - 10076 BEV 0706 CHRISTOPHER AARON KRAAY 423 S JACKSON ST OAKLAND CITY IN 47660-1809 010076 You asked us for information from your record. The information that you requested is shown below. If you want anyone else to have this information, you may send them this letter. Information About Current Social Security Benefits Beginning December 2025, the full monthly Social Security benefit before any dedductions is $896.60. We deduct $0.00 for medical insurance premiums each month. The regular monthly Social Security payment is $896.00. (We must round down to the whole dollar.) Social Security benefits for a liven month are paid the following month. (For example, Social Security benefits for March are paid in April.) Your Social Security benefits are paid on or about the third of each month. We found that you became disabled under our rules on February 1, 2013. Information About Past Social Security Benefits From December 2024 to November 2025, the full monthly Social Security benefit before any deductions was $872.20. We deducted $0.00 for medical insurance premiums each month. The regular monthly Social Security payment was $872.00. (We must round down to the whole dollar.) Type of Social Security Benefit Information N You are entitled to monthly disability benefits 010076 1 /'2 001001 See Next Page