Form 132 - Petition To The State Board Of Tax Commissioners For Review Of Exemption Page 3
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1
2
3THIS SECTION IS TO BE COMPLETED BY THE COUNTY ASSESSOR
SECTION V: COUNTY ASSESSOR'S STATEMENT
1. Date Application
2. Date Determination Of The
For Exemption Was
County Property Tax Assessment
Filed (before May 15)
Board Of Appeals Was Mailed
4. Date This Petition Was Mailed to the State
Review Was Filed
(within 30 days of No. 2)
(within ten days of No. 3)
A true and complete copy of the taxpayer's application for exemption is enclosed herewith.
Yes
No
I, the undersigned Assessor of the designated county, do hereby certify that the above statements are true, accurate and complete.
Printed name of Assessor
Signature of Assessor
Form 132, page 3
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