HomeMy WebLinkAboutDisabilty_Hunt (2)� � ;
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Fnrm Ib6 Nevued 19i9 •
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�FFIDAVIT FOR BLIND OR DISABLED PERSON'S DEDUCTION
� TO BE F[LED IN PERSON OR BY rfA[L EACH YEAR W1TH TAE
COUNTY AUDITOR BETWEEN DIARCH 1 AND ➢1AY 10, INCLUSIVE
FILING INFORMATION ON BACK
STATE OF IA`DIANA --...,,���`w"z-`"--... COUNTY, SS:
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resides at _..-�•-rP:-„�. - ................... ../.ia�.e.�-v�c� - --
Street ' . City
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___.. being duly sworn, on oath says that he or she
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County
Indiana;that � he or she is a blind person (as defined in�the Indiana Code 12-1-1-1-(0) ) .
[.� he or she i, a disabled person as defined in the Indiana Code 6-3-3-6 (a) (8):
u«•ning real estate w�hicb is used and occupied principally for. his or her residence, and that his or her taxable gross
income (exclusive of any income not taxed under the federal income tas laws) is not in excess of $7,500 for the
immecliately preceding calendar year.
That this affidavit is made for the purpose of having two thou�and ($2,000) dollar, deducted from the assess- '
ed caluation of the�following desc�ibed taxable property for the year 19.Q...-�,`,to wit: .�'�.�!..�...��...�
- ,F.. ��--.� r�J �� 7J E' �� �i� -......s'-.a..-..�/...... � � ,1. a o .9_ �....._.. � ........................ ......................
�ig the upplicant's principal residence pursuaiit to IC G-11-12-11 aqnd 6-1.1-12-12.
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SubscriUed and s�i�i t9 be��me this ..................... .........._.. day of ........� ..-- -._............, 191J.._�
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AUDITOR
FOR AUDITOR'S USE
Total Assess Yalue of Taxable Property for year 19_.a„'Jr.
-._...._....._�e.�...e�a�.2t,ta�--.......... TownshiR Rexl Estate $..---A.:�j.'�..�:...Q..�.....
Corporatimt
A;sessed in the name of ....:��-�� O Y. ��.�.
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Amount of Taxable Property Deducted �..._.._0...��_l%..._.._. Net Va ue of Taxable Property $ .................___..........
r�iea .._.._..,5�" 9--._ , is �� �4• �h-G..w
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����� . Audit .
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MAY 9 i985
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