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Brent Rutherford Beauregard Parish Assessor P. O. Box 477 DeRidder LA 70634 LOUISIANA SPECIAL ASSESSMENT LEVEL APPLICATION FREEZE 65 Years and Older Property Must Be Homestead Exemption to Qualify APPLICATION FOR TAX YEAR 2017 OWNER S NAME MAILING ADDRESS PROPERTY ADDRESS OWNER S BIRTH DATE // OWNER S SS -- Adjusted Gross Income for the Year Prior to Application ADJUSTED GROSS INCOME MUST BE NO MORE THAN 72 134. 7 18 G 1 OF THE LOUISIANA CONSTITUTION. I AM 65 YEARS OF AGE OR OLDER AND HAVE A...
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