HomeMy WebLinkAboutDisabilty_Holzmeyer . APPLICATION FOR BLIND OR DISABLED PERSON'S COUNTY TOWNSHIP YEAR
-:s DEDUCTION FROM ASSESSED VALUATION tleF
of Indiana and owner of the aforementioned property on March 1,20 .
Signature of applicant Address of applicant (number and street,city,state,and ZIP code) 51 7‘)/g
. 44rlure ot a •-. Address of authored representative (number and t,city,state,and ZIP code)