HomeMy WebLinkAboutMortgage_Abbott"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ .� FOR DEDUCTION FROM ASSESSED VALUATION
, , Stata Fortn 43709 (R11/6-W)
�' Presoi0etl by DepaRmerd of Laral GovemrtreN Frerce
� FIL
File Mark
wsrRUCnoNS:
To be filed in person w by mail with fhe CounryAuditor or Counry Recorde� ol fhe county where the property is located. F� �� �� �
Fifig Dates: 1) Real Pmperry: Must file during the year for which the deduction is sought�� I���(� �� �Cpunry Audimr
2) Mobde / Manufactumd Homes rrot asseued as Real Pmperry: Must h7e d M e e f1 monfhs
be7ae Ma�ch 37 of each year the deducfion is sought ❑ Counry Recorder
C.�J.� y
See reverse side 7or additional instructions and qualifications. �� ��
,������
arren[ year
wfiat ¢ his / Mr eratl share W interest?
wrrent
If fwne on remtl is tliBuent Nan Nai af applicant.'vidicate Eebw.
or mntract
GIBSON COUNTY
-/3 -a.� /a� oai. ���-oob �"_. .�"" . `�_3 i o �
aa iriEeCtedrress unpaid as W Mortgage / Contraa indebtedness �mpaid as d Is ihe eppfi�nt Ue sde
l�^'JN�i� tlate of applmation legal w equitade ameR
/ W �J ❑ Yes ❑ No
tt wrtw-0 xith sameone other Ihan sVa+�. indicafe wiih wMm
Is C�e V�PenY in GuPStian: Mnue�y AvesuA
� Real PmPeNY � ?^^�!�Y � . . .
rtiortga9ce w mntraa se0er (mm�beiend shee; cdy, stafe, aM LP code)
v oNer owner or halder of morigage
' LP ooOe)
v.hat
pl-a���er t0. �, o/1.-........ -
31�1 -
C��.� �p. .�..j.3•�U� 9•0'0' � _
I zo
I I We certty under thA penalry of perj�ry that the above2/rt1�f
ovmer 1 contracl buyer of Ne aforementianed property�orqdah
�re�� l�� 4 �
� m�, o a Qx� 0 0 4 �c �.-�i
II resident addre W appfcani (numberantl5Lee4 m}: state. and LP
'iqi5 S �,��h'���er�no. �-1;\1
rson auNOr¢ed Gy Euty executetl�ey or 61.1-12-
af auNaaed person (numDer antl sveet r1(y, sfa(e,
COUNTYAUDROR
zo � zo
ror airent yealt
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:�a o� v�r
res ❑ rlo
m
c«��ry I �� �����—�/
'�Ll
infortnatlon is We and corted arW ihat Me applipn[ is a resident of IrWiana aM
ion is filed.
Date (monN, day. yea�