HomeMy WebLinkAboutMortgage_Mathis (3)'°n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION
. . ' State Fwm 43709 (R71 / 6-09)
�` ,�,� PreSaiGeC by DepaRmeM of Lacal GovemmeM Fugnce
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INSTRUCTIONS:
To be filed in person or by mail wiN the CountyAUditor o� Counry Recorder of the county where fhe properfy is located. F�1 fl� �:
Fi7irg Dates: 7) Real Property: Must !Je durirg the year (or which the deduUion is so�ghL �I U N 2 1�O I�°unry Auditor
2J Mo6�7e / Manufactured Homes nof assessed as Real Pruperfy Must file during the fweNe (12) rtanth
6efore March 31 at each year the deduction is sought County Recorder
C'�.
See reverse side for addiLOnal instnlctions and qualificafions.
(oivrer orowwae 6uye� - se�e r���rimwtt on reverse sde) G IBS 0 N COUNTY AUDITOR
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T- DistriG ` Key nan6er / legal dnsaiptim Rearti rpimber Page number
2�-ia--o8 - l03_003. a�p.o �.8 ao� � ass�
A�ssed vaNe d rnal property a5 d MFbrtpage / Contra`2 iMnbtetlr�s unpaid as of Morigage / Contra�Y iMebtednrss impaid as of Is Ne epp�xant Ihe sde
Maich 7, am�nt ytlr art3� 7, wrtent yeer Date of appGf2ti0n Iegal p eQUitable mme/i
� 77 35v ❑Y� ❑No
11 ro. wiiat's h'a / Mr exafl share of intgest'� M owned wiN mmeo�re aher than spouse. iM�[e wifh whom
11 name on reoord is CiRerent Nan Nat of appGcant, trMinte bebw. Is p�operty u� pu�tian: MmuOy As�xssea
Rea� aope,ty ❑ am�ny a�a -
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rn naaer m mortgage
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Does applirvnt wm property in any oNer
muntyinlnEiana? � ..
ana cir cooe�
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