HomeMy WebLinkAboutMortgage_Young (15)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
+ FOR DEDUCTION FROM ASSESSED VALUATION
• Stata Form C3709 (R71 / 6-09)
�' � Prewibed by Department af Loral Govemment Frence
File Mark
INSTRUCTIONS:
� �
To 6e filed in person a by mail with the CountyAuditor w Counry Recader o/ Ne counry whe/e the poperry is located.
Fitirg Dates: 7) Real Pmperty: Must file dunrg the year7or which Ne deduction is wught Coun Auditor
2f Mo6de / Manufectured Homes not assessed as Real Properfy Must file during fhe hveNe (72J months �
before Ma�ch 37 ot each year Ne deduclion is sought ����ef
SeereversesideforaddrtionalinsWCtinnsandqualifications. GIBSON COUNTY A
COUNTY AUDITOR Dj"a 1j'e1' YO.! , , • • � , ��i �
DeducOOn approVed in Ne amount oE
zo_ zo zo zo Card e1'O. ,'�� -
.....l.;sal l :;"'..
Sigr�aMe m Camry AWitw
I I We ceNfy urWer ihe penalry of perjury that Ne above and foregoing infortnalion is W e and correct arM Nat Ne appfinnt is a resident o� ii ww... _rM
owner / conhacl buyer of ihe aforementioned property on da[e appliration is filed.
-i�-o
'� Full rrsitlent atl ress pGtanl (number s6ge(. dry staf�and ZIP e)
�I`� ,� ar.iM �h.v��eJl.-�� �! � 1�� O
�rson autfnraed Dy duty execute0 Power NAttomey a Cy IC 61.7-t2-0.7
person (number arM sbee; cily, sta(e. antl LP mtle)