HomeMy WebLinkAboutMortgage_Key-"�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count
FOR DEDUCTION FROM ASSESSED VALUATION
� • Siate Fortn 43709 (R71 / 6-09)
S � p�esoiped py p¢partmeN of Lool Govemmenl Frence
INSTRUCTIONS:
To 6e lted in person a by mail wifh the CountyAUditw or Counry RemNer o( fhe wunty where the property is located.
F�7irg Dates: 1/ Real Property: Musf file durr�g the year fo� which Ihe deduction is sought.
2) Mobde / Manufactuled Homes rat assessed as Real Property Mus! file dunng tAe tweNe (12) mon�hs
before March 37 0/ each year Ne deduction is sought.
See reverse side for addilional instrtrcGOns and qualifications.
o..,�.�� � w
Assessed rahie d real P�Y ffi�
Ma(U 1. ament I�r
It no. what fs his / her erar2 sha�e
1( name dt re00�d 6 6Hr1�t Nan
ar mnVarl seller
-D`I-3�-.30
Nortpage � contraa "uNehced�ss
Namh 7, curtent year
of appGCan4 odicate
Address of mort9a9ce w contrad se0er
Name of assignee w othr! awner or hd
cey, ffife, aM ZIP
(num6er eM street �Y. state, aM ZIP co0e)
3 -
pmpeNy in anY o1he1 If yes. what munty?
❑ Yes ❑ No
az
�qunryry �A�u9ditor
'CQGnEyW(corder
GIBSON COUNTY v
q¢tiid rwmber Page wmba
rari mdebtetlness unOaiE a d Is Ihe aDP�^t Me sde
date of appGcation le9al w epuirade amer r
� �O OOO ❑ Y� ❑ No
If owned wi� someone ather ihan spouse. IndKate with Mnm
yoa- A�.
What Tawg Dc
15 ttie PtoPeR7'm V� Mnua%ASU55ed
--- rl Real Properly Q MmualyAsseSSed
� unGle Hwne pC 61.
K�y �-A�,� � -
W �� ��/"�'
l`^ ' l / lL� I
Has Nis 7edWiu� benn re9uestetl m prwc+y
for wnml Ye� � YPS ❑