HomeMy WebLinkAboutMortgage_Sellers_'° STATEMENT OF MORTGAGE OR CONTRACT INDEBTED� Coun ship Year
FOR DEDUCTION FROM ASSESSED VALUATION
Sta[e Fwm 43709 (R71 / 6-09)
�,,,, PresaibaO by DeV��� af LorW Gwemrt�etLL Finante
OC� 0 6 Z��QFileMark
INSTRUCTiONS: F� q� �:
b be Red in person w by mail with the CountyAuditor or Counry Recorder o( Ne county whe+e the property is located.
FiHrg Dates: 7) Real Pmperty. Must fik dwrrg the year (or which the deduction is sought 'y�7 //� . � �nry Audhor
2J Mob�7e / Manufactured Homes rat assessed as Real Property: Must file dunng the hveMe p2J rii65Y�'' �unry Recordu
be/ole March 37 of each yaar the deducfbn is saght. �J
GIBSON COUNTY A DIT
See reverse side for additional inslructions arM qualifications.
Aodira�t(ownerormntrarlb+ne/-Seerasb'rZOnsmreverseside) � w �
no. wl�at 5 na I trer ena
Ii n2liie Ot1
Name of m
Mdres of
-�3v_,�_aoa -ooa. a a-oa
Mortpage I Convau IrdehteE�s unpaid as of Mwtgage / Cmtrart vMehl
Mamh 1. wrterit yrar tlam of appGotbn
1�{7 Od
rc awned w@h someore mtw.than si
C'Afuent tlan Mat of apP�4 uMirate Eelow.
�
or rantracl se0
me� awng or r
oi� Pyi� �—
�s o! Lv Me ePP�� Cre sde
kgal a emAta6le mwwYt
❑ Yes ❑ No
Dra���ei• NO... aQ�,d
� o� ca,�d �=o. .. y I.l� a
r end �eet �Y• stam. aM LP mde) ' . . . . . . . . . . . . .
��a ' �ly�j�pp. �=
saee4mY• LPwde) c/
% i i J n�-'. T �QA. ii /1 ��
IDces eppli�m ovm properry in any �/ier I If yes, wlut tountyt I VJhat Tari(g Dislrict? I Has Nb d� Daen ieGUesfcO m pmpMly I
munry m �Mia�u? ❑ Yes ❑ No i ror cu�rnn yeaR ❑ Yes ❑ No