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Home My WebLink AboutAge_Metzger. �� aj rt'"o AFFIDAVIT OF PERSON, 65 YEARS OF AGE OR MORE, -i � REQUESTING DEDUCTION FROM ASSESSED VALUATION ��• Sta;e Porm 43708 (R / 9-96) "�, Presuibed by ihe Sta;e Board of Tax Commis5ioners Informa�ion contained in ihis document is CONFIDENTIAL pursuant to IC 6-1.7-12-9. COUNTY TOWNSHIP YEAR File Mark INSTRUCTIONS FOR FILING: � � � � � property as ot rutarcn t, current year (maynot ❑ Yes ❑ No � $ I/We certify under penaliy of perjury that the above and foregoing information is true and correct and ihat the applicant was a resi- dent of Indiana and owner of the aforementioned property on March 1, 19 ature of applirant , Signature of authorized represemative (by ezecured Power of AttomeyJ 7�.��L � idress of applicani " `� " Address of authorized representative �loz N, �/L�F� S7