HomeMy WebLinkAboutMortgage_Parker (2)°"+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C own ip ar
__ FOR DEDUCTION FROM ASSESSED VALUATION
51ata Form 43709 (R10 /11-08)
� � Presaibed bY �Partrtient d Loral Gwernmartl FBunm
INSTRUClIONS: ile M
To be filed in person or 6y med wilh ffre GounfyAuditor d the county wAeie tAe property is locafed.
tilirtg Dates: 7J Reel Property: Must file Ounng Ure year fw which the deduUion is soughf. ,�
2) Mo6i/e / Manufacturetl Homes not assessed as Real PropeAy: Must file durng the hveNe (12) months 6efare er� 31 0� yeer
thedeductionissoughc GIBSON COUNTY AUDITOR
See reverse sitle lor adQdional inSWdions arM qualifications.
�ran1(owne� a oonhaR Gryor- see ms6irlims m mrorin sde) '
Ke nwnber/legaldasaiplbn
w ��-,�n-iG-aoo-000.��a-oo
propery as d Morlpape / Cartra�! mdebtedirea u�ryaid as d MMpape / Cmtra
Marrh i cyrteN year dale of appGtation
tl reme m remd is Cdferertl Ihan Ihal of ap0�, iMimfe
Name d mongagea or contrxt sa0er �� $�� / '
/b �ii...6�j�
Add(ess d morigapee or mrtrad seGer (nun6erand sGceC �A: e, and Z� cade)
Nama d auipree w afhm amer a hoider d mat9aBe
Addrass d�ipriee (wm6ei and sbceL o1Y• sm/e. aW ZfP wde)
Doe^ aPP��t awn prope�ty in anY Wher I( Yes. what �
cau�j in Indmm7
0 Yes � No
WuUian eOMa'eE m I�e artrour� oi:
I
� \r� �
3natu dCaurityAUEila
1/ We cartify untl [he penalry ot
owner / mnGad yer of ihe
�nature (owrrYs fid name
�GLr1C-
fl (qsident adQ�ass of a canl ( uMa
l� s—� ti , £�v�
1e9a1 �r ep�rtable awre(!
❑ Yes ❑ No
with sort�eone ather Ihan spwse. indipte rilh whun
Is Ne Wu7aM in Guestim: MnuaOy Assessed
❑ Rea1 R'operty Q MnuaOy Assesse�
�5-�U��
20
�Si��ES ,
� T,�����
the above a
ptoperty on
a
daulhoraedparson (nunDOrandst2e(aTy,sbte.andLPcv.ic)