HomeMy WebLinkAboutMortgage_Hudson.� "•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
r;, .. ._ FOR DEDUCTION FROM ASSESSED VALUATION
Stale Form 43709 (R8l 2-07)
�° ,:,, � Prescnbed by DeOanment of Local Govemment Finance
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lNSTRUCTIONS:
To 6e filed in person or by mail with Ne CountyAuditor of the county where ffre property is locatad. -
Fding Dafes: 7J Real Property: During the 12 months be/ae June 71 0/ fhe year the deduction is fo be elfective. I/� n� �] 2009
2) Mobile Homes assessed under IC 6-7.7-7: Between January 15 and Ma2h 2 0/ the year the deduc6on is to b�qkc�ve.
See raverse side /or additional instructions and quali�cations.
Applicant
GIBSON
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sessed ue of real poperty as of Ma 1, amem y�r MMgage / Comr��11 indeWetlness unpaid as M Marcli 1, Is 1he apptimnt Ihe sole legal a equiUde o.meR
artent ye�� /��/ / Jv ❑ Yes ❑ No
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what is his / her erzaa share of imerest� If owned with someone ather than spouse, i�cate wilh whom.
name on iecord is differenl Ihan �hal of applicant, indicate below: Is �he propeM in quesUon:
❑ ReaAProoertv ❑ MobBe Hare (IC 61.
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Hes llus detludion been requested on property
fw artent yeaR
❑ Yes ❑ No
20
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I/ We certify under lhe penalty of perjury ihat the above and foregoing infortnaGOn is We and corred and that the applicanis was I were a resident of
Indiana and owner of the aforementioned propeRy on March 1, 20 _ ..
!'resiH4nt address of applicanl (number and sGeel. cdy. stefe. aM ZIP cade)
�U� N �S�ofi-t� c>u.�eti5�: I�F �r� y� ��s
Person aulhorized by OuN execuled Power of Altnmey or by IC 61.1-12-.07
persm (numberand sLeeC cAy. stafe, erW ZIP mde)
Oste (mmN. day, yea�