HomeMy WebLinkAboutMortgage_Snyder (2)STATEMENT OP MORTGAGE OR CONTRACT INDEBTEDNESS Coun hip
FOR DEDUCTION FROM ASSESSED VALUATION � i
Stata Form 43709 (R70 /i1-08)
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wsrnucnoNS: �a� 7 2009
To be filetl in persm a 6y mad witl� Ne CountyAWftcr d the caunty where the property is located.
Filirng Dafes: 7) Real PropeRy: Must file dunng fhe yeer for which fhe deduction is sovght. �y,,
2) Mobi7e / Manu(adured Homes not assesse0 es Real Properiy: Must file dunrg fhe (weNe (12J mmths be/ae AlarE/ir3ia/,���
the deductan is swght GIBSON CO
Seereversesdeforadd'e;ona�iiuwcfionsendqualihcatians UNTY AUp�TOR
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tl ro, what is his l her azatl share d irrteresl?
H fvme on ramtl is ddfe�eM Ihan Ihat of appl
Name d orlgagee or cant�i seller
rass d mortgapee a fmta euer (wn
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❑ Yes ❑ No
owned with sartreone ather Ihan sow+se. iMirate with wlwm
'ud'cab belar. Is Na popaM m Cuesiion: MnuaN' Assesved
. - Q� PmpartY ❑ MnualyA4essed
r�- Matile Home (IC G
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Pddress d assignea (wmba aM sderl. ci�: sbb. and LP mdo)
o�wenr � �r m,a.
Dedutlion approved in tlie artaurtl of:
I(yes. whal
ZO V% � 20 � 20
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Da1e (mantA, day, yaar)
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I/ We certify untler �he penalty of perjury ihat the above arM foregoing uifortnation is true and cwreci antl that the appGcant is a resiaent of Intliana and
awner I mntrad buyer of the aforementioned p`operty on date applintion is filed.
7nat�r (�,rfs fla+wr») C � oata (mo'+th, dar. yqar)
0 F�g 5 S. 525 � �-{a�.�k
authwaed by duy esecvted Prnrer d Anomey m by IC &7.1-72A.7
person (numDrrantlsLCOf,
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