HomeMy WebLinkAboutMortgage_Durham"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNE ship Year
_ ; FOR DEDUCTION FROM ASSESSED VALUATION
� . � Sfate Fwm 43709 (R71/609)
�' �,,, Prewibetl by �epartmeM of Lxal GovBmmeM FnenCe
File Mark
wsrRUCno,vs: NOV 1 6
To be filed in person or by mati wrfh tlre County Auditor w Counry Recorder o/ the county wl�ere the pioperty is bcated. F� �� ��
Fitirg Dates: 1) Real Pmperty: Mus! file Curing Ne year for which the tletluclion is sought. � Counry Audimr
2) Mobde /ManufaUUred Homes rrot assessed as Real Property Must file dunng fhe fweNe (1 �� ,C �
6efwe March 31 o/each year the deduction is sought ❑ County Remrder
GIBSON COUNTY � „ n �
See reverse side (or additiunal instructions and qualdicafrons.
(ownar � conlrarY bu4yEr - see rasbicfioru m reverse vde)
C�.
�a Distrsi KeyrcmDer/kgaldescriprim Recofdrwmber Page �
a6-Mior�tpa- �- � o -000�SBo-oa7 �-o�0 5/s,�
Marrh 7, tarmc year ��� Mar� 7�ewrmnt ct indehtetlness unPaN az N Martgage��� 'uWehtedness unPaid as of Is�the ��t Ne�
year aate of
OO ❑ Yes ❑ No
n Iq. W�121 �S �15 ��IEf 8Td17 S�IdfB Oi Il1iCIP3l� tf owned with mmeone othu Ihan sGW�. 4dxate riU� wfian
If �wne m remd e Qdferent Nan tl�at af appOfant, InEkate Gelow. Is perty in GuesCOn: Mm�a%ASesseC
arovenv ❑onoen a�Hw��.t-�
Name of matgagee «cmaaa sener
Address N rtnrtgagce u conbact xller lnumber end sLeeG �y: state. arM ZIP code)
Name ot assignea w othel wmer ar hdder of rtartgage
AdCrPSS ot asagnee (num6arentl rSy, smte. ad LP code)
�� E �l-�-ll ���93 �-
Dces apprc-em o«n V�D�Y in any aher tf yas. wlut counp? What Tadrg D'sv'rl? Has Nis deArSm Oeen re7uested m P�Y
munty in InOiana? ❑ Y25 ❑ No for w�rern YeaR ❑ No
❑ Yes
CAUNTY AUDROR --
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,
20 _ 20 _ 20 _ 20
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SigrawreNCamyAuditw Counry �/�[" -.
I rtify u e n perju t ihe a and foregoing infortnaGm is t C a l� (I � O. . . . . . . . . . . .� . . . . . . . . d
� a contra uyqr of e afwe ed property Q date application is filed.
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Oe�� (numberaM 5treet �'AY. sfata. antl LP rode) _ I /
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