Form Pt 38a - Application For Property Tax Reduction From Municipal Taxes For The Elderly And Disabled - 2004 Page 2

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4. Verification
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TO BE COMPLETED BY COUNTY TREASURER
I hereby certify this applicant meets all requirements for a property tax reduction in SDCL 10-6B.
___________________________________
____________
Treasurer's Signature
date
TO BE COMPLETED BY COUNTY AUDITOR
A. Income
$__________________
B. Percent Reduction Due
$__________________
C. Property Taxes (2004 payable 2005)
$__________________
D. Amount of Reduction (B x C)
$__________________
(Applies to 2005 taxes payable 2006)
PT 38A (6-04)
Original to Director of Equalization
First copy to County Treasurer
Second copy to Applicant
PRINT FOR MAILING
EXIT
CLEAR FORM
1.
2.

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