HomeMy WebLinkAboutMortgage_Phillips (6)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C Township Yeai
._ ; FOR DEDUCTION FROM ASSESSED VALUATIO� ��
Sfate Fortn C3709 (R71 / 609)
S f P2svibed by DepartmeM af Laml Govemment Fwnce
File Mark
INSTRUC7IONS: �AN 5.2010
To be filed in person or by mail wiN Ihe CounryAuditor or Counry Recorder o/ fhe county where the properry rs located.
Filing Dates: 1) Real Property: Must file d�rrtg Ne year fo� which the deduction is sought.
2) Mo6ile / Manufactured Homes nof assessed as Real Property Must file during�q�»�e. Ive�nths
before Maich 37 of each year the deducfion is sought O'�a��
Seereversesid�additrona�ins tFonsa ��i�icatiAns.^ GIBSON C9UNTY AUDITOR
AppSCam( ar Dryqr- verse ' e �1 ^
Asesed vdWe oF real qoperty as of
Mazd� 7, a+�ent yPar
Ii ro, what is his / her exaG sha�e of i��
If name m �em�tl is diRe�t Nan Iha
Name oi rrrortgagee «mntracl seller
Addtess of mort9a9ex or mntrati sn�
Name W asv�nee w otice
P.dEress of asvgnee
own yope
��q
Drawer NO..... �::.1........
Card NO. ... �.�Q.1.........
=tl.ya�.o�
as
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faring DistritY?
Fwm filed with:
unry Auditor
❑ Counry Reeorder
as d I Is Ne appl'rant ihe sole
legal a eQUitable owne/?
Yes �J No
Is Ne P�Vert1' in auestion: MnuaM Asusud
❑ Real Pruperty ❑ Armuatly Asse55ed
s Na deEUtlion Oeen reduestetl m pmprlty
a�renc Y��? r� .. r�
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