HomeMy WebLinkAboutMortgage_Murphree (3).e °^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year �
_ FOR DEDUCTION FROM ASSESSED VALUATION
� Slale Fartn 43709 (RS / 2-07) .
�' .•,. � Resmbed by Department of Local Govemmenl Finance �
File i�dr�c � O 2008
INSTRUC770NS:
To be filed in person w by mad with the CourttyAuditor o/ the touMy where the propelty is bcafed.
Fding Dafes: 1J Real Prope!(y.' Dudng the 72 monMs be/ore June il of the }rear the deduction is to be el/ectiva. � �/�
2) Mo6ile Hortres assessed wderlC G7.7-7: Behveen January 15 and March 2 0/ fhe year lhe deduc6on is to be eNec�!�a� �:�+�
See reverse side la additional insWCtions and qualifications. �� U
GIBSON COUNTY AUDITOR
Key munber/lega
��,,a.,�� `
�han Ihal of applicarn indote below:
Nartre ot mortgagee or mnUxt seller
Atltlress of mortgagee a mntraC sdler (rrumber arM sG
Name of asv9��� or alher owrws w hdCer W rnortgage
asvgnee (rnrtMer aiM street, ciry, 5afe, aM Z!P rode)
Does epplicaM own proparty in arry dhar
courLLy in Ind�ana?
❑Yes ❑ No
appmved in Ihe amwnt of:
�\i��J
— 4�o—Iz?�7—cx�a- l IS
»w ��am�a�s ��a � m r.�,a, ,.
2(7 � ZO
If awned wifh sort�eme
WFat-
/nl�Ull[�I:i
-p a����,�
SPOIISE,
«
poperty in qucslim:
�I PropeAy ❑ Mobile Hane
t�°�� �
�� E�
�nu �e�� ,56�1 �
- � �
20
❑ No
es ❑ No
20
a re un Auditor Cwn Date ( N, tla �ea� .�
��l
I/ We certi under penairy of perjury at the above and foregoing infortnation is true and corred and that Ihe applicanfs was / were a resident of
Indiana and ownrs afwementioned y on Marrh 1, 20
vuLmrs(nwneh Mnsme) �-� .. . / Daie (ma�N. daY Y�/1
Address
of
P��
nd sUeet city, sfate, arM Z/P �
� � �� 1�QNe
�ru�r a by ic e-,.,-,z-.o�
s6aeG aty, state, aiM ZIP wde)
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