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Age_Gray,�.-�,� 1 AFFIDAVIT OF PERSON, 65 YEARS OF AGE OR MORE, courm rowr�sHiP renR
REQUESTING DEDUCTION FROM ASSESSED VAIUATION
� � S�ate Form 43708 (R6! a-Oa) '
Prescribed by Ihe Depanmenl oi Local Govemman; Finence
�ormaGon conWined in Ihis document Is CONFIDENTUU. pursuant to IC 6-7.7•72-9 and IC 6-1.1-35-9. File Mark
INSTRUCTIONS: FILING DATES:
To be filed in person or by mar7 with fhe Coun(yAuditor o/ the counly where 1) Rea/ proparty: puring the 12 months before May
the property is lorated. 17 ot the ye ion ' b eNective.
2) Mobife ho s d un r.C. 1- 7;
See reverse side !or addifional lnsWCtion and qualihcations. 6elween J ary��4 c�h 1 I yea�
the deductron is to be eNective.
