Signature:
Handwritten signature and date 5/7/26
(Authorized as agent to complete this form)
Signature:
Date
(Authorized as agent to complete this form)

Submit the completed form to c/o:

Delaware County Council, Attn: Tax Abatement Committee

Delaware County, Indiana

100 W. Main St.

Ste B 102

Muncie, Indiana 47305

Ph: 765-747-7786

With email or copy to:

Economic Development Alliance of Muncie-Delaware County

Gina Caravaglia & Traci Lutton

PO Box 842

Muncie, Indiana 47308