HomeMy WebLinkAboutDisabilty_Pierce��" APPLICATION FOR BLIND OR DISABLED PERSON'S couNrv � TOWNSHIP � YEAR �
�- ; DEDUCTION FROM ASSESSED VALUATION
�,• State Form 43770 (R3 / &00) � � � � I
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Prescribed by the Sa:e Board of Tax Commissioners
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�rmation wntained in this document is CONFIDENTIAL pursuant to IC 72-1-1-1(n) and IC 57.7-12-72(b). p E C 1 4 LUU I ..
IN�TRUCTIONS FOR FILING:
To be filed in person or by mail with the County Audito� of the counfy where the property is loca-/�('�^^r` J��
ted dunng the 12 months 6e%�e May 11 0/ the year the deducfion is to be effective. �
See ieverse side for additional instructions and qualifications. GIBSON COU�TY AUDITOR