HomeMy WebLinkAboutMortgage_Sierra^� STATEMENT OF MORTGAGE OR CONTRACT INDi
_ � FOR DEDUCTION FROM ASSESSED VALUATION
Stata Fnm 43709 (R10 /17-08)
`�.« � Ras�'+ibed by DepaM�ent d LoW GovernmeM Finance
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INSTRUCTIONS: A
To 6e frled in persm or by meH wiU� fhe CountyAuditor d fhe county where the popelty is localed.
filirg Dafes: 1J Real Property: Musf file during the yeer for whicli Ne deduction is sought. �%7
2) Mo6de / Marwlaclured Homes nd assesse0 as Real Property: Must file dunraj tlie hveNe (12J mmHis Iefo�e �� o! ead� year
the deductan is soughL V V
GIBSON COUNTY AUDITOR
See reverse sideloraddi6onal insWCtions and qualfications ,
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Name of mortgapee a contrad se0er
- 3/-,30/-aoo. .5//-�0
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Addrass d morlgapee u mrrtract seAer (mmbo�anE sbee[ �: sm114 antl ZIP cade)
owner ar
Does aG7��t wm poperty in am� alher � rc�, w�� �cr7 � wn
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❑ Yes ❑ No
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�eal Pioperty ❑ MnualyAssessed
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