HomeMy WebLinkAboutDisabilty_Rainey"'A^ _ APPLICATION FOR BLIND OR DISABLED PERSON'S
ry.• - �. DEDUCTION FROM ASSESSED VALUATION
� State Fortn 43770 (R / 9-%)
�' � Presaibed by Ihe State Baartl of Taz Commissionars
t tion contained in this documeni is CONFIDENTIAL pursuant to IC 72-1-1-1(n) and IC 6-1.1-12-12(b).
INSTRUCTIONS FOR FILING:
UNTY TOWNSHIP YEAR
� f1(
�R<�#'
�i..��
To be liled in person or by mail with the County Auditor ol the county whe�e the property is loca-
ted during the 12 months be%re May 17 0l the year the deduction is to be effective.
See reverse side for additional inshuctions and qualilications.
APR 2 2 1999