This government document is issued by Dolores County for use in Colorado
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https://www.google.com/url?client=internal-element-cse&cx=30e844f92a4dd4624&q=https://dolocnty.colorado.gov/sites/dolocnty/files/documents/Senior-Exemption-Long-Form-Instructions.pdf&sa=U&ved=2ahUKEwjg89TQrrCHAxV9h_0HHWMVAOs4ChAWegQIAxAB&usg=AOvVaw2e4ID9Q8mLXy77pcJtF9Zt&fexp=72519171,72519168