HomeMy WebLinkAboutMortgage_Greer (2)"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ � FOR DEDUCTION FROM ASSESSED VALUATION
• Sfate Form 43109 (R71 / 6-W)
�' �w r Presaibetl Cy DepMmeM Of Local Govemment Finance
wsrRUCnoNS:
To 6e filed in person w by mail with the CountyAuditor or Counry Recorder o! the county where the pmperty is located. F� q�09
Filing Dafes: 7) Real Pmperty: Must file durirg the }rear fir which the deduction is soughL Counry Auditw
2J Mo6Be / Manulactured Homes rrot assessed as Real Property Must fiie dunrn� the nvelve (72) months
6efora March 37 oI eacA year the deduclion is sought. ❑ CJou ty Recorder
See reverse side for addifionalrsVUCWns and quali�cations.� . a
AppGmm(ownermmno-a`t sepyepnfti�sm rsesid}) � GIBSON CO
�D��Qo�.� �����jj �S-IOb-do3.
etl �ahc d real as d Alonpa9e / Cantraa'udebtedness unPaid as ot
1. arre�rt r� Ma�ch 7. arrent y�eer _�
11 �ro, whal is his! her ezxt share o( intere5t?
nameon
Address d rtnrt�a9es ar mntrar2 se�er (num6er and stree; �y, sbfa, ard LP code)
Name at assignee or other owner or holder of mortgage
AOCR55 Of d55ig�fGG (lwmbef aM streeL �Y. 5late, ar�tl LP COQe)
Oces appfitam own popMy in any oNer If yes, wha[ munty!
munry in Indana?
❑ Yes ❑ No
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DeEUCfirn appr
20
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I/Wecert
owner / mntrad
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sorrieone
VJha� Tavrg ��tri�7
(AUDROR
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Recortf number
unCaiE a d Is Ihe a
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Date (month. daY• Y��
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P1
'�Y
No
_...,,� �i pe�ury that Ihe above and toregoing infortnaUOn is W e and cortec[ and Nat the applirant is a resident of Indiana arM
of the aforemeMioped property on date appliralion is filed.
sheeL GN, state,
61.
ACtlress of aWmr'¢ed person (number and saeeC dry, sfala, and LP
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