HomeMy WebLinkAboutMortgage_Naas^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ _ � FOR DEDUCTION FROM ASSESSED V��pT� ��
State Fam 43709 (R71 / 6-09) �
S,,,, I P�esoibetl by DepartmeN of Wwl GovemmeM F�nce
File Mark
lNSTRUCTIONS: �[ (` 7 d ���1
b 6e filed in erson or 6 mail with fhe Coun Auditor or Coun Recorder oN/2tiodntyFwpEIA the m F� �� ��
P Y �Y b P PertY is located.
Frling Dates: 1) Real Property: Must file during the year for which the deduc fqn,is wughf. �ounty Auditor
2) Mo6�le / Manufactured Homes not assessed as Reel Property: �Mu&1 � the hvelve (12) monfhs
befire Ma2h 37 0( eech year the deduction is soughG .- ❑ County Remrdu
Seereversesidefofadditionalinsfructionsandqualifications. GIBSONCOUNTYq
Appfmant(ow�rermcor?2�buye�7se§;m�sy(�re rse / //_ i/V)
KeY �wwmber �e/?- !Y�— (J �--l.L(�[_J �V[J �"
b real D�Y �
Y�
If name on rem�d is tliRemnt Nan ihat ot app6qnt'oidica[e below.
Name u� n�[xtgapee ar contraa sel�er
svcef, ceY• stete.
(number aM shee4 �Y. slete, and ZIP cotle)
RV ``D •`�` I P�V O/ O�
: Unp3W a ot MOrtg2ge / ConVact inOCOt¢OnCSS unp2b 25 Ot IS Ne BprltCanl I
date of appGmtion legal a equiFad�
�� � ❑ Ye5
If ovmetl witl� mmeore dhu Ihan spo�se. iMirate wilh vAnm
IS Ihe DroDertY in QueStion: Mmt00y AssessM
❑Reaia�oaem ❑,nnn�a�Na�ss�
I Oces applrcam ovm property in any other I If yes. what count�!+ I Wtat Tari�g DistriU? I Nas Oiis deduflion been requested on pmperty I
munryinlMiana? n No forwrrentyeal.+ ❑ Ye5 ❑ No
n �P�