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d��;, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
�-•�.__•. � FOR DEDUCTION FROM ASSESSED VALUATION Gibson earton 20�2
'' S1ate Form 43709 (RN / 6-09)
�;-- � Pre5cri0ea by Department of Local Government Finance
File Mark
INSTRUCTIONS: '
To 6e liled in person or by mail. a wnh:
Filing Da7es: 1) Real Proper7y: Must be canpleted and dafed in the calenda� yearlo� which (he deductio is oq7h� ounty Auditor
Must be fiied with !he Counfy Audiloror County Reco�der a! the county where the prope lo��f .�
on or before January 5 of the immediately succeedirg calendar year_ �L Couniy Recorder
2) Mobile /Manu7actured Homes not assessed as Real Property: Mustlle wifh �he CountyAuOi(or o71he �
nty where the property is located dunng fhe twelve (12) months before Maroh 31 of each yeq� (pe q 6 9 '
'onissought. JUI. o �
See reverse side for addi I inslruc6ons and quali/icalions.
Applinnt (owner w wntract buyer ee restricwns on reverse vtle) ''
Neal A. and Anna M. Boga
�istnG KeynumberllegaldescnD� QIBBON agenumber
B Townshi � 262471-201-000.399-001 Pt NW NE 173-9 p�Q� �
'i Assessed value W real property as o/ Mwtgage / Convact indebteCness unpaid as d Mortgage I Cont2cl indebledness unpaid as W Is Ne appli�nt Ihe sole
IMarch i, current year March 1, airtenl year date of applicaGOn legal or eQUitaNe owne(t
589,600 5739,860.00 Q Yes ❑ No
� If no, what is �is / her �an share of inierest? If ovmetl with someone oNer than spouse. intlinte wiN whom
If nartre m recwd is tliHerent Ihan lhat of appGCant, indicate bebw: Is the proDerty in question: Mnualty Assessc-0
Curtis L. and Darla Strickland ❑� Real Property ❑ MnualyASSessetl
Alobile Home fIC 61.1-71
Narre o( rtrortgagee w wnt2cl seller
Welis Fargo Bank, NA
Address of mortgagee or conUacl seller (nvmber and street, uty. stafa. anE ZIP cod[
2650 Wells Fargo Way, 3rd Floor, Minneapolis, MN 55467$000
Name of ass'grree oc other vxner w holder of rtartgage
cNy, 9ate. and ZIP coCe)
Does appliwnt own qopertY in any other If yes, what cwnty? NTaI Taairg D'¢Vict? Has �his Uetluction been reQUested m propenY
munry in InEiana? � No fw wrtnnt yeaY.� � Ye5 ❑ No
n Yes