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APPLICATION FOR BLIND OR DISABLED PERSON'S
DEDUCTION FROM ASSESSED VALUATION
Stale Fortn a3710 (R4 / 70-01)
Prescnbed by ihe Department of Loral Govemment Finance
I COUNTY � TOWNSHIP YEAR =
�^`^�nation contained in this document is CONFIDENTIAL pursuant to IC 12-1-1-1(n) and IC 6-1.7-12-12(b). File Mark
�RUCTIONS:
o be filed in person or by mail with the County Auditor of the county where the propeRy is located.
Filing Dates: 1) Real Property: During the 12 months before May 11 of fhe year the deduction is to be ef(e� �
2) Mobile Homes assessedLnder IC 6-1.1 J: Befween January 15 and March 31 of the�t d uctio�'iS to e e ective.
See ieverse srde fo� additional instnictions and qualifications.
11 �J