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APPLICATION FOR BLIND OR DISABLED PERSON'S
DEDUCTION FROM ASSESSED VALUATION
State Fortn 43770 (R6 / 4-06)
Prescribed by Ne Department of Local Govemment Finance
Ir 3tion contained in this document is CONFIDENTIAL pursuant to IC 12-1-1-1(n) and IC 6-1.1-72-12(b).
I . 2UCTl0ldS:
To be filed in person or by mail with the County Auditor of the county whe2 the p�opeRy is located. ^,�ny
Filing Dates: 1) Real Property: During the 12 months before May 11 of the year the deduction is to be eN�cfive. 1 Z006
2J Mo6ile Homes assessed unde� IC 6-1. i-7: During the 12 months before March 2 of each year fhe individual wishes to
obtain the deduction. - �a� ��
Name of
or
is hisRier
below
as defined in IC 72-1-7-1(n) and IC 6-1.1-12-72(b)?
❑ Yes C��
s the property used and occupied primarily for is/her residence?
� �es ❑
o(authorized