HomeMy WebLinkAboutMortgage_Pfister" STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
Slate form 43709 (R10 /11-08)
�,.,� � Presuibed by DepaMrenl W LoW GovemmeM Finanm
INS7RUCT10NS: �
To 6e filed in persm or by med witl� the CovNyAuditor ol the county where the poperty is kcated.
Fililg Oates: 7) Real Properfy: Mtast file during the year7or which the deduction is soughL III i� � s � 09
2) Mobde / Manu/acturetl Homes nof assessed es Real Property: Must file dunng the fweNe (12) monLu befoi�'IGfert7! 37 o�e0ach year
the tle0uction is soughf.
See ieverse side far adddional i ns antl qualificatims Q rQ
Appficant(mmervmNixldryor- m�oveisesi�) �,/-
. J�(.l.l. GIBSON COUNTY AUDI70R
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� Ma(ch 1. amartt Yea I Mart3� i, �w�C
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H ro. what is his / �er euA share d i�rast7 �
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matgapee a mnlracl se0er
Nar�» d assgnee or aner o«rer or n
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Daes aGG��I own papefty in arry ot
Deduclion aPOrwed'm Ihe amouM of:
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Signalure d Caur�ty AudHOr
I/ we certify urMer fhe penalty
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d inde6ledrress unpaitl as d Mptgape / Cantad indeMedneu unpaiE as d ts lhe appG�aM Q�a sda
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