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AFFIDAVIT OF PERSON, 65 YEARS OF AGE OR MORE, couNrr TOWNSHIP v�
REQUESTING DEDUCTION FROM ASSESSED VALUATION
S�w > Sfate Form 43708 (R7 / 5-06)
ptesrnbed by the Departrnent of Laal Govemment Finance
� il
Information wntained in Ihis dowment is CONFIDENTIAL Dursuani to IC 6-1.7-12-9 and IC 6-1.7-35-9.
INSTRUCTIONS:
To be filed in person or by mail with the Couniy Audiior of the county where
the property is located.
See reverse side (or additional instruction and qualifications.
FILING DATES: SEP j � ZOO�
1) Real property: Dunng the 12 months before �une
11 oI the year th�j� uctio� e effective.
2) Mobi/e homes as�eS e�unde C. ti7-7;
beRveen J�n��j�tltA��'rc�A���tne year
the deduct�on is to 6e eflective.