Disabilty_Brown�S : `S
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APPLICATION FOR BLIND OR DISABLED PERSON'S
DEDUCTION FROM ASSESSED VALUATION
Stale Form d3710 (R4 / 70-Ot)
PrescriEed by Ne Department of Local Government Finance
COUNTY TOWNSHIP YEAR
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��nation contained in this document is CONFIDENTIAL pursuant to IC 12-7-1-1(n) and IC 6-1.1-12-72(b). ile MBTk tl i
fRUCTIONS: NQ �
To be filed in person or 6y mail with the County Audifor ol the county where the propeRy is located. O 7 2002
Filrng Dates: 1) Real Property: During the 12 months before May 11 0/ the year the deductron is to be eff ive. �7
2) Mobile Homes assessedLnder IC 6-1.1-7 Between January 15 and March 31 0/ the yea d d�N�i's 4c46e eff tiv .
See ieverse sideloradditional instructions and qualifications. " �19SON COU, TY qUplTpq