HomeMy WebLinkAboutMortgage_McClain^�� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
_ FOR DEDUCTION FROM ASSESSED VALUATION
.• StateFOrtnd37091R111609)
�' , P�esaibeE by �epartmen� af Local Govemmenl Firence
�STRUCTIONS: � � �
fo be filed in person w by mail wiN the CounryAuditor or Counry Recorder oI the counry where the property is located.
FiTrtg Dates: 1) Real Property: Musf file during the yearlor which Ne deduclion is sought. 7
2J Mo6de / Manulactuied Homes rat assessed as Real Praperty Must file dunng !he hvelve (12) monfhs� I
before March 37 oleach year Ne deduction is saght C,�
See reverse side for additional insLUClions errd qualifications.
d 2a1 P�P�Y as W
what is his / her e�ct share of inte�est?
�ounry Auditor
Counry Recorder
°'"" � ""�""� GIBSON COUNTY AUDITOR
r/ legat desaiption Remrd munber Page number
- _3i_.�� _000. ys�-oo9 o vo
gag / Contrarl indebtetlr�s unpaid as of Mortgage / Contrad'vdebtedness unpaid az d Is Ne app�xant Ne sde
M�a �rr1� 1 Qartent year tlate of app&ation kgal w eQuitahle ax�Yt
�nd Q(j� ❑Yes ❑No
If name on �ecord is SRtera�t Ihan Nat of appbca^4 �irate below
Nartre of rtartga9� � mntrau se4er �
mntract srAer (n� ard stree; cdy, state, aM LP code)
omer owner rn naoer or mortgage
P4aRS5 oi a�vgnee �n�• erarq vee4 my. sldfe, ana c�r cme)
�,�_ v 98,Y 9
Ooes applitant wm ryopeny in any other It 7res. what countyl
munryinlndiana? n .,__ n .,_
If owned wiM wmeo� other Ihan s{wuse. i�Wicate with whom
Is Cre proP�nY � 7ue�on: Mnually Asessed
[�Real Roperiy ❑ � �
P�1 �.........
�1":l\\'Ci' \Q.........
C�id�� �`���..-'.....
� ��` U Yes ❑ No I