HomeMy WebLinkAboutMortgage_M & S Properties & Contractors LLC^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn C3709IR71 / 6-09)
S / Presaibed �y DepartmeM of Local GoverturreN Fu�ance
� � g �� File Mark
wsrnucnoNS: d
To 6e filed in person or by mail with the CounryAUditor or Counry Recorder of the county where the pJio�pe �s ��� �
Fitirg Dates: 7 J Real Proparty: Must file during the year fo� which the deduction is soughL � County Auditor
2) Mobde / Manufaclured Hanes not auessed as Real Praperty Musf file dunng the f� (�2�dC� � �unry Remrder
be(ore Maich 31 of each year the deduction is sought.
See 2verse side �itional insfrucGOns and q�ifications. C.�. �' .$r,y
! AooGOnl fown�c b - see msvirbons r
As�sed �aNe dmal P�M1Y a4 M
�Ma� 1, arm�rt ym
whaf is ids l lrer
If nartie
u�difate
�L.SC.�� GIBSON COUNTY
�"�"''a'!o- / 3-30 � ot�-C�D l- `E07-O �'" ����
/ Contraa 4de6tedn�s unGaid as W Moriga9e / Con7aU'viCebtedness unDaid az of Is Me
vrtent Y� datcP�BP�� _ _ �
Pddress of mortgagee or contract seAer �number arH sheef, ctiy, slare, aM ZIP cade)
Name of assignee w other owner or h
MCress af assignce (numDer eM stn
Oces appirent own poperty in any ol
munry in InEena? ❑ Yes
, � 7
Dra�ver NO. a01� - ��iQ
ves u No
k the property in Question: Mnua�y Assessed
❑ Real Property ❑ MnuallyAssessed
Modle Fbrt�e (IC Cr1.
Has Nis tletlWion Eeen reVU�ted m P�Y
Ior arten� Ye�' r� __ r�
ductimapprwed4�Neamaumaf Card NQ.
.....................
�pe, �•�/�
I �20 _ -- ' ^f 6YY3i ��QCI� . �ry i _ 20 _ pp _
I 1
� i Caunry Datelrrml�y7ea�/, ! /
U J `T
1/ We cerUy u er the penalry of rjury that the above a d toregoing intortnation is We and cortect and Nat Ne applicant is a resident of Irufiana aiM
owner I contract buyer of Ne aforeme�oned property on ate application is filed.
Pason auNO�aed
(num4er antl shce4 �1: sbte, and ZIP oode)
person (numberaM shee4 �Y, stdte. and ZIP ootle)
�alc (manlh. dal:Y'��