Application For Real Estate Tax Exemption Or Deferral And/or Personal Property Tax Relief Page 4

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OFFICIAL USE ONLY
Total Income for Personal Property Tax Relief (Line 14)
Total Gross Income for Real Estate Tax Relief (Line 14 + Line 28)
Less Disability Exclusion
Less Other Owner/Relative Exclusion
Total Net Income for Real Estate Tax Relief
DENIED: RE
REASON:
DENIED: PP
REASON:
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