Fillable Indiana County Affidavit to Appoint a Personal Representative (County of Indiana)

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Indiana County Affidavit to Appoint a Personal Representative (County of Indiana)

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The Indiana County Affidavit to Appoint a Personal Representative (County of Indiana) form is 1 page long and contains:

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  • 20 other fields

Country of origin: US
File type: PDF

U.S.A. forms for County of Indiana

BROWSE COUNTY OF INDIANA (PA) FORMS

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Indiana County
BOARD OF ASSESSMENT APPEALS
Affidavit to Appoint a Personal Representative
Control #:
Property Address:
(Street)
(City) (State) (Zip Code)
(Last)
(First) (MI)
Mailing Address:
(Street)
(City)
(State) (Zip Code)
Phone Number:
I hereby appoint the following individual or company as my authorized representative to act on my
behalf before the Indiana County Board of Appeals:
Authorized Representative
Name & Firm / Company:
Authorized Representative
Address:
(Street)
(City) (State) (Zip Code)
I understand that this affidavit must be presented to the Board of Assessment Appeals at my hearing.
I may revoke this appointment by forwarding a letter of my intent to the Indiana County Board of
Assessment Appeals at any time prior to my scheduled hearing.
Signature of Appellant
Date
Parcel ID:
Appellant Name:
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Indiana County Affidavit to Appoint a Personal Representative (County of Indiana)

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Completed 6 August 2020

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