PTAX-343-R HEPD

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5 - This only property applied for
6 - Jan 1 Owner or legal interest
7 - Liable Real Estate Tax
8 - Jan 1 you occupied as Primary Residence
9 - Jan 1 resident of ID/DD
9b Spouse occupied or unoccupied
10
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11/03/2026Click to Sign
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11/03/2026
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