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Get 2011 Taxpayer Exemption Application Form

Operty Index Number(s) Owner / Taxpayer Property Index Number(s) Property Address Daytime Phone Number City State Zip 2011 HOMEOWNER EXEMPTION As owner of the above property, I hereby apply for the Homeowner Exemption. I affirm by signature that this property was occupied by its current or previous owner as a principal residence as of January 1, 2011. I understand that it is against the law to provide false information on this Homeowner Exemption application. Applicant's Signature Date.

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