HomeMy WebLinkAboutMortgage_Buck"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS T hip Year
FOR DEDUCTION FROM ASSESSED VALUATION
• Sta[a Fwm 43709 (R11 / 609) .
� Presvibetl �y DeP��rd a( Loml Caoremmerrt Frence -/
,� Fle Mark N
�NSrnucnoNS: FEB 8
To 6e (led in person w by mail with the CounryAuditw or Counry Recorder o! the counry where the property is located. ����
Fitirg Dates: i) Real Pmperty: Must file durirg tha year /or which the deduction is soughL C.�. County Aud'rtor
2J Mnbde / ManuFadured Homes rrot assessed es Real Property: Must file during Ne lweNe (12J months
before March 31 0/ each year the deduclion is sought Caunry Recorder
See reverse side tw additional inswctions and qualifications. GIBSON COUN
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p�opelty at of
his / her euU shara of intrlest?
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Name m rtaR9a9ee a
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rtprh�agee ar mntraG sWer (num6ri and svee4
owner or halder of mortgage
assign¢e (numEer and streef, ttiy, state. ard ZIP cotle)
az a( ( Mort9a9e / Contra
date M aDP��
rc �,rea .�m �� m�
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impeid as d I Is Me eppOrant tlie sde
Mpa� or a7��de o�1
n Yes ❑ No
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❑ Reel ProPeKY ❑ ��Y ��
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