HomeMy WebLinkAboutMortgage_Bailey (2)°'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Year
FOR DEDUCTION FROM ASSESSED VALUATION f�
Slata Fortn 43709 (RS / 2-07)
S ... � Prasrnbed try Depahment of Local Govemment Firence
FEB�e]M`�xZ009
INS7RUCTIONS:
To be filed in person or by mad with the CourRyAuditor o/ the courrty where fhe property is located.
Fding Dates: i) Reai Property: Dunng the 12 monfhs before June il of the year the deduction is to be elfettive. �
2) Mobile Hames assessed under IC 61.1-7: 8ehveen January 15 and March 2 0/ Me year the deduction is to e
See 2verse side foredditional instructions arrd qualifications. GIBSON COUNTY AUDITOR
52B B�UISO!! (BV8(58
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Ta�d g DisUict - Key fium6er / legal desaiption
a�-� -�o - �
A� v�ue d mai popaty as af lAa�h 1. aarent Y�r Mor�gage / ConVacl
� artent year /
�hat of applican4 indimle below.
Name M mrnigagee or cornracl sdkr
Address ot mortgagce or wnUacl seller (number and �C dty. sfate. ard LP crode)
Name of assgrree d dher owner or hdder of mortgage
Address oF assignee (�um�ber aiM sGeet. city, state. arM ZlP code)
Daes epplicaN own property in arry olher
couNy in India�7
❑Yes ❑No
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number Page mlmber
/�/-o��f I D
as oi March 1, Is Ihe �renl ihe
If owned wiU� someme Wrer Ihan spouse,
Wt� Tadn9 Dish
��'�a�� ��
❑Yes �No
Is U�e propeM1y ir. Quesfion:
❑ R�I Pfoperty ❑ Mobile Hane QC 61.1-7)
Drativei- i�iO.b..q,-, s,�/S
Card i\'O. ........ �—
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