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�. "' p APPLICATION FOR SENIOR CITIZEN n,� row a e.nr:
. PROPERTY TAX BENEFITS
` -! Spie Fortn <3708 (R9 / 9-OB)
Peascrbad by ihe Deoartmem of Lacal Govemmem fir;�ce D C 1 1 2�0
File Mark
Intwmation oon�ained in lhis tlowment is CONFIDENTIAL pursuant to IC 6-1.1-12-9 and IC 6-1.1-35-9. �l� �`��
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INS7RUCTIONS: � U
To6efiledinpersonorbymailwifhNeCountyAudiforolthecounywherefhepropertyislocatetl. GIBSONCOUP!TYAUDITOR
Filirg Dates: 7) Real Property: Dunng the MreNe (72J months before December 31 ollhe year the deducfion is to be eflective.
2) Mobile Hanes assessed untler IC 6-iJ-7 ormanWac(ured homes nof assessed as real prvperty: Dudng Ne Mre/ve (72) months
6efwe March 37 of the year fhe detluctlon is to be eNecfive.
See Ieverse side lw adtlitional instiudions aiW qualihcafions.
AdCress of aop�Kaq (r.umGer antl sWet, ci,y, stafo. antl ZIP
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eut�orized reoresenta�iva (nomhCf Jntl 5:/OCL Lity. SdtC O�tl ZIP COdC)
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