HomeMy WebLinkAboutMortgage_Reeves^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS T p vear
_._ = FOR DEDUCTION FROM ASSESSED VALUATION
. Smte Fwm 43709 (R11 / 6-09)
,,,,, � PresaiOetl q' DePar�N of lo�l GovemmeM Wiance
wsrRUCnoNS:
S p F�e i�i11U
Fam m wtl,:
To be filed in person or by mail wdh the CounryAuditor or Counry Recorder of the county where the properry is located.
Filing Dates: 1) Real Property: Must ble dunng the year for which Ihe deduction is soughG i� ry Auditor
2) Mobrle / Manufactured Nomes rrot assessed as Real Property Must file dunng Ne hveAre (12) rtanfhs ~ T6 _
before MarcA 31 0( each year the deduUion is sayht. �ry RMOb�
See reverse side lor ad�nal instnrctions and qualihca^ions. � n_
GIBSON V AUDITOf+
Appfrant(owrrelor buYer-see �re s e% _ . _" ., a A �
a rea� p�pertv as or
�
/ tcer era�'1 share af inteJest?
If rwrre m remid's Srtlerent than Ihal o( aOP�anl'oWiram
Nartie of rtartgagee a
af cantraU
w holdar of martga9e
AECmss of assig�e (numDer eM sneet �: sisle, entl
� -3a-lo � �./��-oay �° _. a7
trati'ude6teCn� unOaiE as W Morigage / Cantrs(Y'uWe6ted�wss un7� as W Is Ihe ePP�� tlx mk
tl O date ot aPP�� legal a eQUita6k wmeY7
'� � ❑ Yes ❑ No
N owned ritl� sanea�re other than sPa+�. iMirate wilh whom
r. is ihe property in Question: Mmia�y Assessed
� Real PfOPeRY ❑ ?�!��!�Y.� . . _
crty, sj4f�• ard LP mde)
Oces applimnt wm pmperty in any otN-
munb m InE�ena? -r � ✓� O 1 � , • . .
� a
e,��
IIWeC
owner I
p� ��� el �� �'1 �.P ...
..•••'"����
C,�� J10• •"�� �Ha�'
.��°`� - - i
YMat Te�dtg D'stricl?
�o
Mas Ihia deCUman Deen reGUrsted m pmperty
for wrrern Y�n � Yes ❑ I
�_ �_
, oa� t�rn, ear. r��
me pen of perjury that above and foregoing infortnation is true and correct arM that Ne appiinnt is a resideM of IrWiana aM
yer of N me�oned P DertY on date aPPlication is filed.
imel _ _ � ) Date (rronfi, daY. Y88�)
Pasm auUp�@etl q' dulY �ecuted
Pdtlress of auU+ursed persan (num
sbee4 �: s7aM.
sbeet �l: slete. aM LP cUde)
�, 1N
�yl��