
Being first duly sworn on oath, (name) state that I/we qualify for this exemption under Section 63-602G or this benefit under Section 63-701, Idaho Code because of the following: 1. The undersigned is/are the beneficiary(ies) of the , a trust, (legal name of trust) established in the county of on - - . mm dd yy 2. The undersigned occupied the residence identified by as the (parcel number) beneficiar.



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