Disabilty_Conklin Effill
. _
APPUGATION FOR BLIND OR DISABLED PERSON'S ' COUNTY TOWNSHIP Kam
q!,411 .DEDUCTION FROM ASSESSED YALUAVION
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- malted by Ms Miranda al Lodi Gorsgsnent Rive
Intonnallan contaland tn this doctunent Is*OFR/INTIM.pundlanno IC 8-1.1454. - t ,
INSTRUCTIONS: rn be Illed.In personanby rase Wel Me:caul*areitar of tlia no.W.IIY.when)tha ProPettlY19 ocaed. --
Rag Date; Fenn meat bacenrgebsalelanedreadgint byJanuary Isotifiu Weirder par In whIcIrthe pines*taxes are firgatf 0 and payable. .
See reunite ado fdcadardiptiannannand dadsinatiketrans.
Mu of ApplIcarn(owner arson/Ad burn)-
Roger Conklin
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N/A . 0 ResIPropsny 0 Annualty Assessed
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old Onssn • Raced dumber(connadi
Johnson 6-22-14400.-001,.394-024
- Me caddy Mtn penalty of vainly that the above and tamping!arbitration la nun end cooed.
Addicts of Agesint inumberand died,dvy,are*and ZIP 0304
"—fPflAirldMi 12752S* - .
',4d , ,j_ Sunset-Dr., HaUbstadt, IN 47.639
.p,1, Oakum d AuCindind linplasentien(donor and add,dy.stsIn.anc/AP Cods)
, • * . . * *
.8gcEAPT FOR APRUCATION FOR DEDUCTION FOR BLIND!DISABLED PERsONs ,
Name cl Maori Date Fled • • • t", "
Roger Conklin
Issm•d MOW Esdar
N/A ,
MAY 05 20251
lasing Diatict
Johnson ••
,e 2 a,i i 1 e i,7.dHc
Kai?Unbar/Load Dacdpuon
. 26-22-14-300-001.394-024 .
GIBSON COUNTY AUDITOR
Stratum al County Aursiaor
. •
6 lik' I:LAIL 4. `. f 3 . . . ' _ a i AA MLPIP41111111111011b
6 i
011
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•
Notice of Award
gIiipmiiq,uilullliiilliIIIuiUhiluIIIIiiiI IwirInuu}iIiii
0000356 00031195 2 MB 0.622 0108M3MCS6PI T219 P1R
tim ROGER CONKLIN $$..
12752 S SUNSET DR
HAUBSTADT, IN 47639-8672
•
You are entitled to monthly disability benefits beginning December 2023.
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