HomeMy WebLinkAboutMortgage_Sloanti
"`� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township , Year
__ s FOR DEDUCTION FROM ASSESSED VALUATION
• Stale Fwm 43709 (R11 / fi-09)
�' � PresaiOed Oy DePa�nt of Loral Govemment Finarxe
File Mark
INSTRUCTIONS: CC
To be fi7ed in person w by maii wiM the CounlyAWitw or Counry Recorder o! the counry where the p�operty is bcakA.-B 9 Fo � wiih:
F13ng Dates: i) Real Property: Must file durirg the year for whirh the deductian is sought Counry Auditw
2) Mobile /ManuFactumd Homes not essessed as Real Property Must fiie dunrg the M1vefve (72) mo�6s�.
befwa March 31 of each year the deduclion is sought. �^tY R��
Seereverseside(oraddrGonalinstrucUonsaMqualification�. _ GIBSONCOUNTYAUDITOR
�������
��
ro, whe16 tis / her eraG sAara of interest?
a�,�
If rwne m remd is S�amt Nan that o( aPP�+4 uMifate Delmr.
of nvtpapee a mntrad =°"— _ "
� a,�`�.........
pra",�, �O•••••••.
a,�a..........
��ra�o- �'���
��!'�� � No � .�.
20
amount of.
�
I Racord rwmb�
'3-a�/
�
rc �a wm, �� an� w� �cu�se.
COUNTYAUDROR
20 20 _ 20
� . n
I/ We certy urWer ihe penatty bf perjury thar,fie above arW
rnvner % contrad buyer of the afaemeMbned property on da
arenuelo !s/u�reme) //
stare, anC LP ootle)
Cy OWY executed Power o(ManaY w M IC
Address o( aunmr'¢etl perso�
�
Page number
�� �
Yes ❑ No
I5 �he D�OMY in Ouestion: Mnuaoy As5esse0
I,�] RPaI Ptoperty Q Armually PsscSSed
� P�Y
❑ No
ZO _ � 20 _
�� ��.
infomiaUon is true and cortect and that Me applirant is a resident of IMiara ard
ion is fded.
�l: Y��