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PROPERTY TAX EXEMPTION APPLICATION YEAR ***CONFIDENTIAL INFORMATION*** 2009 PARCEL NO. PETITION NO. PETITIONER INFORMATION Owners Name: (Print) Owners Name: Address: Phone Numbers: Daytime: () Evening:
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Indicate the starting and ending mileage for the period covered by the form.
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Employees who are eligible for a vehicle allowance or reimbursement from their employer and are required to submit proof of mileage.
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