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CLAIM FM
O.EE�FrfiD PMPERTY TAX CREI)IT FOR YEAR 19-D
SE-E, BACK FOR Fl . LING INS-Mr-TIONS 5*b
Ns 3iy that ® the ist day
aE7n 7of r. ea=e th faL I
ming d-Hbed Xe=a
o a = _
credit is ).-=--by b•ir4 =laimado, •
a Berle -r- 3
are hyi= =XIET
h3ve a in
6 50 AJ CCr=,-Y
-izn in ----------- :�
_y Das==ip T, Tcxr--:Lip):
cn tax
or le;--1 snm-
m
a AJ kS6 61f4
lz h7ty.. cn r
s Cr=:E,
re=c-,m ed 3n Ps-==- , page
cre to or tne th-- use and -.c---ir-n a
if alq I of tile Z,
that is used to 7---)e
:L,=-jy st-
Fr=erT
_y
cr C==V mrs
==-ies in rh
pny
at
aria ccr=a
t&-�t is tr---,
I Cer-
1__by _if y tl7-- abOV--
cr
-------- Aekllxmp
----------------
lie is to Day the
tln� =rcr�iaes
owns or is bTYirl "r in .ti-- t3);zve=-
on tj, t,
F=coarty taxes_
FOR ASS-ESSM IS USE Or�y
Assessed
2 valjet±= valu--=
-a
a=e -ely
YONNOWN
Z-==C=-�-ing re-si-
L.---d .. MEE
A (3)
qt gal lznd
REUNION
(4)
2-�4d C2-06e
(g)
Totml 0
(6) plus (7) e=L
TO
==--=t , arx,
c,-ify the above is =t- --i
of Assess=
ACTION By ,.UD!TnR
Bato: ------------
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