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APPLICATION FOR BLIND OR DISABLED PERSON'S
DEDUCTION FROM ASSESSED VALUATION
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Resvibed by Ihe Depanmmt d lofal Govemment Firance
�nfwtna�ion contained in this document is CONFIDENTIAL pursuant to IC 72-7-7-1(n� and IC 6-t.t-12-12(b�.
NSTRUCTIONS:
COUNN TOWNSHIP YEAR
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File Mark
To be (led in person or 6y mail with the County Audi(or ot lhe county where the p�operty is locafed. \� /
Filing Dates: 1 J Real Property: Dunng the 12 months betore June 71 of the yea� the deduction is to be etfective. �Y
2) Mobile Homes assessed under IC 6-1. 1-7: During the 72 mon(hs betore March 2 of each year the individual wishes to
o6tain the deduction.