HomeMy WebLinkAboutDisabilty_Lee'F��rm IE6 iieviecd 19�9
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� ArFIllAVIT FOIt I3LIND OIt llISAI3LEll PF.RSON'S ll�DUCTION
TO BE FII.ED I�I PPItSON OR BY AtAtL EACH YEAR Nt1'H THE
� COUN7'Y AUUITOIt BE'CK'liEN DfA1tCA 1 ANU M1IAY 10, IYCLUSIVL•'
STA'1'E OP
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FILING INrORlIA1'ION ON 13ACK
...... COUIv'TI', SS:
:"- -- ...---.-._--.......... being duly swo on oath says thnt he or she
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City " Count .
Indi.ina; that � he'or she is a di� Lled�persongasedefued� ih the I�nd a� a�Code G3-3-6�(aj (8) :
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u��•ning re:il estate whicli is used aud occupied principally for his or her residence, and that his or her tazable gross
iucume (esclusive of any income not tated under the feder�! i!icmne tax laws) is �iot in excess of $7,500 for the
immedintely preceding calendar year.
'1'hat this affidavit is made for the purpose of havi��g t���o thousand ($2,000) dollars deducte� from the assess-
ed valuatimi of the followi � desc 'bed taxable prope ty f• th year 19..Q�, to w;t : ........................__................
........ .......................�.���%� .rj�.�....... �,,,�� 730-_30�0................
�' ' "d`_ .....:........ .................
�ing the applicant's principal residence pursuant to IC G-11-12-ll an(d� 6-11-12=12:
����� l ......�°"/"— 4J �...App�i�- ....................'-................
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Subscribed and sworn to Uefore me this ....� ..................__. day of ..�.aC:�-!.`�'...., 19�.(.
� 9 3 1989 . �� J� �..: f ;✓�c ,�,� � n '
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FOI2 AUDIT R'S USE
Tut<d Assess cl •ilue of Taxable Property for year 19�.. __.
- �. � - -- - ................... -- - .... Township,
,, Corporation
rl,sessed in the name of .........r� _...� .!. .��,,,��..-_..
Real Estate �..�..�.l.J.S./...,........
Anwwit of Taxable Property lleducted �..��Q�Q.......... A�et Value of Taxab Property $...(...Y_S1.Q.<......_..
Filed ...�...`�.�`--- -� 19.v� `� "`..� --F��1��
- -- - . .. . .. .... ..... ................
Auditor - _
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