Form Dte 26 - Application For Valuation Deduction For Destroyed Or Damaged Real Property

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DTE 26
Rev. 11/97
Application no.
Date Received
Application for Valuation Deduction
for Destroyed or Damaged Real Property
Answer all questions and type or print all information. Please read instructions on back before completing form.
1. Owner’s name
2. Owner’s address
3. Owner’s telephone number
4. Parcel number of damaged property
5. Address of damaged property
6. County where located
7. Date damage occurred
8. Cause of damage
9. Description of damage
10. Estimated dollar amount of damage $
11. If property insured, amount of insurance received $
I declare under penalties of perjury that this application has been examined by me and, to the best of my knowledge and
belief, it is true, correct and complete.
Owner
Date
Signature
Sworn to and signed in my presence, this
day of
,
Notary public

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