HomeMy WebLinkAboutMortgage_WilkinsSTATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C Town i ar
FOR DEDUCTION FROM ASSESSED VALUATION
SWa Form 43709 (R10/11-08)
� / PrasrribeA bY �Partrnant af Laral GovemmeM Finanm
1NS1RUCilONS: Fle Ma
To be filed in person a by mad with fhe CaunlyAudifor o/ the oounty wfrere the property is bcated.
F7irg Dales: 1J Real Propel(y: Musf file tlwing the year for which the deduction is sought � �Q
2) Mobile / ManulectureC Homes not essessed as Real Prope�ly: Must file dunrg tlie fweNe (12) mmfhs belole M�h 3 f of ch year
the deductan is sa,ynt GIBSON COUNTY AUDITOR
See ieverae sitle /a aQdAional insWdions end qualifications
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T Datritl , Keymunber/legaldesniplion R�rdnumber Pagenumber
otb -� . / - �2a3 - 000. 37 -vo ` S
Asessed rdue dieal pope�ty as of Mu(gapa / CaNad iMebledress �npaid as o( Martpape / CoNracf indebleEness unpaid aa d Is Ihe appLCanl Ne sde
A4aN� 1. nmeN yaa Ma�ch 1. w�eM ygg[) D date of appfxation lagal ❑�le awreR
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Y no. what's h's / hm a�ad shara d imerasYt I( v.vned with sameone olher Ihan s{rousa. uNicate wi9i wf�om
M reme m recud's Qdfe�em Ihan Ihat or a7otimnt. intlimb bebw:
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Pddress of esignee (numDw and streeG aN. sfafo. ar�d ZfP wtle)
Does appGont own poperty in afry olher I( yes. what wunry7
cotmly in Indmnal �.. �__
Dedutlim apprweE in Me artaum d:
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VJhal Tuing Distrid?
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I5 Me W�M in Guesfion: Annua�' Atsessed
� Real PropeAy ❑ MnuaOy Assessed
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I I We certify urWer fhe penalty of perjury ihat the above arW fwegoing information is We and crnreG and that fhe applicant is a resden[ d Indiana and
awner I mntrar2 buyer of Hie aforementbnetl property on date applinfion is filed.
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