HomeMy WebLinkAboutMortgage_Matthews""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R70 711-08)
` � Presaibetl EY Deparbrent NLaW Govemmertl Fiiurca
INSTRUCTIONS: Fle Mark
r�aar�eer��,�o.ay�,��mu,aco„��yawnordu�a��rywnarema��nyrsro�rBa. JUN 1 6 2009
N7'ug Dales: 1) Real Property: Must h7e during fhe yoer for whud� the tleduction is soughf.
2J Mobde / Manulecfuled Homes nof essesse0 as Real Property: M�st file tlunrg tlre hveNe (12) mmths belcre March 31 o/ead� ye8r
the deduction is so�ght. ;/y �/
see reverse sde7maddkional insWUions and qualificafions %'la� •:�J.W��
����.�P .-t_� ���5����� �M ,..�2 GIBSON COUNTY AUDITO
a�a�a�»w�ia�y�a
� �. �a y�
H ro. what is his l har exad share of ir�resl7
name
� o(W - �-'�� ! . J /
Cantrad inde6tedness unpaitl as o Mpt
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�,.,ro w �..,,��, � �,a� ,� �/�
��_���� �d �o�,,,�,a,��� �: �. ���,
Nama of auigiree w afhar owner c - r�'
�
H owned with someo�re olher Uwi spousa. indicate wiN whan
#assignea(ivmbeiand. ; C�
Dra�►-er NO.. ��.1.
.......
scan� oxx, popertr m M � ......
IMiaf¢7
❑ Y` Card I�'O. .... .1 � 5
Dedupion appmveE in Ne artroun
20 � 20
Sgnatura d Courrty Audaor
2b _ � 20 _
U / '%__)
Yes ❑ No
peM in Question: Mm�aMAfsessed
ProperlY QAnnualtyA55essaC
Ifora,rremyean �Yes
2(1 _ 20
Date (mY/t tlaY. Y�)
No
20 _
I/ We cerli(y under the penalry o( perjury ihat the above aM twegdng e�tamation is W e and carred and ihat the applicant is a 25iden� ot InCiana aM
owner I mntrad buyer of the aforementioned pfoperty on Aate application is filed.
�ature (awnrfs RA narne) Date (manfh. daY.Y�1
:,l a/C / . �4�^ _ii��n..i �i�ii/�7%�e'i/oii��v__ii__;,o.
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parsrn (nunbrf and s4cet dry, safe. ane ua caao)