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Indiana Free Printable 43710.FH11 for 2024 Indiana Application for Blind or Disabled Person's Deduction from Assessed Valuation

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Application for Blind or Disabled Person's Deduction from Assessed Valuation
43710.FH11

Reset Form APPLICATION FOR BLIND OR DISABLED PERSON'S DEDUCTION FROM ASSESSED VALUATION COUNTY TOWNSHIP YEAR State Form 43710 (R13 / 1-20) Prescribed by the Department of Local Government Finance File Mark Information contained in this document is CONFIDENTIAL pursuant to IC 6-1.1-35-9. 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 and signed by December 31 and filed or postmarked by the following January 5 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) If No, what is his/her exact share of interest? Is applicant the sole legal or equitable owner? Yes If owned with someone other than spouse, indicate with whom: 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: Real Property Is applicant blind as defined in IC 12-7-2-21(1)? Is applicant disabled and unable to engage in any substantial gainful activity as defined in IC 6-1.1-12-11(d)? Yes No Yes Yes No Key number / Legal description Yes Record number (contract) Signature of applicant Address of applicant (number and street, city, state, and ZIP code) Signature of authorized representative Address of authorized representative (number and street, city, state, and ZIP code) RECEIPT FOR APPLICATION FOR DEDUCTION FOR BLIND / DISABLED PERSONS Date filed (month, day, year) Name of contract seller Taxing district Key number / legal description Signature of County Auditor No Page number (contract) I/We certify under penalty of perjury that the above and foregoing information is true and correct. Name of applicant No Does the applicant's taxable gross income for the preceding calendar year exceed $17,000? Is the property used and occupied primarily for his/her residence? Taxing district Annually Assessed Mobile Home (IC 6-1.1-7) Date signed (month, day, year) INSTRUCTIONS AND QUALIFICATIONS Applicants must be residents of the State of Indiana and provide proof of blindness or disability, as applicable. Applications must be filed during the periods specified. Once the application is in effect, no other filing is necessary unless there is a change in the status of the property of applicant that would affect the deduction. This application may be filed in person or by mail. If mailed, the mailing must be postmarked before the last day of filing. Any person who willfully makes a false statement of the facts in applying for this deduction is guilty of the crime of perjury and on the conviction thereof will be punished in the manner provided by law. Maximum deduction is $12,480. The applicant’s taxable gross income in the preceding calendar year cannot have exceeded $17,000. As proof of blindness, the applicant may provide the Auditor of the County where the property is located with proof of blindness supported by the records of the Division of Family Resources or the Division of Disability and Rehabilitative Services, or a written statement of a licensed optometrist or a physician who is licensed by this State and skilled in the diseases of the eye. As proof of disability, the applicant may provide the Auditor of the County where the property is located with a Federal Social Security Statement of Disability. An individual with a disability not covered under the Federal Social Security Act shall be examined by a physician and the individual’s status as an individual with a disability determined by using the same standards as used by the Social Security Administration. For purposes of this deduction, “blind” has the same meaning as the definition under IC 12-7-2-21(1) and “individual with a disability” means a person unable to engage in any substantial gainful activity by reason of a medically determinable physical or mental impairment that can be expected to result in death or that has lasted or can be expected to last for a continuous period of not less than twelve (12) months.
Extracted from PDF file 2023-indiana-form-43710.pdf, last modified October 2008

More about the Indiana Form 43710 Other TY 2023

Use this form to apply for the Blind/Disabled Deduction from your Indiana county. Property tax forms are managed by the Indiana Department of Local Government Finance, not the Department of Revenue.

We last updated the Application for Blind or Disabled Person's Deduction from Assessed Valuation in February 2024, so this is the latest version of Form 43710, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 43710 directly from TaxFormFinder. You can print other Indiana tax forms here.

Other Indiana Other Forms:

TaxFormFinder has an additional 69 Indiana income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 130 Taxpayer's Notice to Initiate a Property Tax Appeal
Form 104 Business Tangible Personal Property Return
Form 43708 Application for Senior Citizen Property Tax Benefits
Form 102 Farmer's Tangible Personal Property Assessment Return
Form 103-Short Business Tangible Personal Property Return

Download all IN tax forms View all 70 Indiana Income Tax Forms


Form Sources:

Indiana usually releases forms for the current tax year between January and April. We last updated Indiana Form 43710 from the Department of Revenue in February 2024.

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Historical Past-Year Versions of Indiana Form 43710

We have a total of four past-year versions of Form 43710 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



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