HomeMy WebLinkAboutMortgage_Reidford"'� STATEMENT OF MORTGAGE OR CON I E Coun Tovmship Year
,,. � FOR DEDUCTION FROM ASSESSED V���
• Stale Fortn 43709 (R71 / 6-09) � 1
`�u. ? Ptesaibed by Deparvnerd af Lo�l GovemmerLL Fnance
��srRUCnoNS: OCT 11 2��1 FileMark
0 6e filed in person or by mail wi(h the CountyAUditor or Counry Recorder of FOfm fl� �''
Fifirg Dates: 1) Real Pmperty: Must file dun fhe �- - e pmperty is located.
rg year fo� which the deductlon is sought County Auditor
2) MobBe /Manufactured Hortres rrot assessed as Real Pmperty: Must file du g t eIv� (72) months
6efore March 37 o7each yearthe deduction is soughtGIBSON COUNTY AUDITOR County Recorder
See 2verse side (or addi�rona/ insfructions and qualdreafions.
MD�C��ri rnooritrdrlGuYel 2sM+ybhsabreversesAel . � /J
:etl ralue a real popert�j
1, CvRnl yPar
ro, wf�ai ts his I her e�U
�'-1�1Do-� las-o ay .YW.�.o�ll .�"_ 3�8�
Mwtpage��ntra We6tetlness unpaid az of � g�age PI �� irWebtedness unpaid as d �I a eQU�ble amef?
R3f /^Y��
SOOv�) ❑Yes ❑No
tl fwrie m iecoid is EiRerent ihan [hat of appBraV, utl�te belovr.
Name M mongagee or crntract sWer
AddRSS o� mortgagee w oontract sd
Name o� assgnee or ott�er owner w f
nearess or �
oo� apw�mm
county in Indan
apya
Fi9
state,aM
rt�ortgage
� a0�.1.� ..... .. -
DI��\\'�C ��..:':.... .
� � 3�87 � . .. �
c1�-�.�o. ..........�... ..
���)�� /
i 20 � 20
�---"L� • 1 1 Lt
t/ We certlfy uMer Ne penalry ot perjury t the above anA
ovmer I mntrad buyer of the aforemerttbned property on da
' retlu f,owrnh Ore
WI resi em aq ress of appG (number ard street tlry, state, aM 21
J
Pe�son auNwiad Ey didy esecuted Power o(Aitamey w by IC Gt.1-t:
Address of audroraed person (numGCr arntl sbcet �Y. sbte, and LP c
with someone ather �han spause. indimte wiM Mnm
4Mat Tari� District?
20
Is Me properry in Quwtion: MnuaM Assesse0
i] Real ProPeM O PrmuallyAssessed
Has N¢ detlutlion Oeen requested on property
ro. wrrent yean
❑ Yes ❑ No
� I �
1 �N�I;�AILI.!'lti I I v" I l— I I
infamation is We and cortect arW Nat Ne applinnt is a resident of Indiara and
ion is filed.
Date (monCi. daY. yaa�
Qace I�m. Oay; yea�