HomeMy WebLinkAboutMortgage_Rohr"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_, FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn 43709 (R71 / fs09)
�' ,,,, ` Presaihed by DepartmerH of Local GovemmeM Firence
F
wsrRUCnoNS:
7o be filed in person w by mail with the CountyAuditor or Counry Recorde� of the couniy whele the property is located. F� �� n p�
F�Nrg Dates: 7) Real Property Must file durirg the year for which the deductlon is sought D E C 0 7Aunry Auditw
2) Mn6ile / Manufactu2d Homes rrot assessed as Real Property Must file dunng the tweA2 (12J monfhs
befae Malch 37 0l each year the deduction rs sough�. ❑ Cou^tY Rec°�du
See /eversa side 7or additional instrucUons end qualifications. �
AvWrant(ownarmconva �-scre���eo rer� ide) l ,�/ ��J
. h. _/Y ../O.'n '7"'/1 7/ h GIBSON COUNTY AUDITOR
Taa �ttria number/le9alitl 'O— /� � _Try� /�V �CJ. �> / RecaNnumpQr� Paga+Wrt76pi��
V V `!�
Assessed vahre d mal propaty as d Mongage / Conbaa irdehtetlness unpaiC az U Mortgage / Contrarl uMehtedness unpaid as d Is Ne epplirant the sWe
Mart3� 1, unmt ye.ar Me�ch 1, wrte�rt yrar tlate of /� legal ar epuitable v.me(.+
1 IJOOn ❑ Yes ❑ No
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Card n�o. ....3559
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Is ihe property in Question: Mnualty Assessed
❑ Real RoPeAY ❑ ArmualyAssessed
/? I W�at Ta�dn9 Distria? I Has Uiis deEurlim been re9uested m P�Y
for artevrt yeaR �_ �,