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�APPLICATION FOR BLIND OR DISABLED PERSON'S
�, � DEDUCTION FROM ASSESSED VALUATION
State Fortn a3710 (R / 9-96)
�' ,� f Prescribed Oy Ne State Board af Taz Commissioners
In. .ation contained in Nis document is CONFIDENTIAL pursuant to IC 72-1-1-7(n) and IC 6-1.1-12-12(b).
INSTRUCTIONS FOR FILING:
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To be liled in person or by mail with the County Auditor ol the county where the property is foca- MAY � 1 �999
ted during the 12 months be%re May i t of the year the deduction is to be el%ctive.