HomeMy WebLinkAboutMortgage_Garnett-_ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
FOR DEDUCTION FROM ASSESSED VALUATION
:• Sfffia Fortn 43709 (R71 / 6-09)
\ / Preuribetl by DepartmeM o( Lncal GovemmeM Fuwnce
�NSTRUCTIONS:
To be filed in person or by mail with the CounryAUditor or Counry Recorder of the aounty where the pmperty is bcat�
Piiirg Dates: 7) Real Property: Must file during the year (or which the deducfion is sought.
2) Mo6ile / Manufac21ed Homes rrot assessed as Real Property Must fiie dunng the fwelve (72) months
6efore Ma�ch 37 of each year Ne deduction is sought.
See reverse side !or adtlitional inshucGOns arrd qualifications.
o�sma
Assrssed vaWe af real popertY as
AAazt�h 1, firren[ ym
M. xTa� a ttis l lrer exatl
�Q1u�Auditor
Counry Remrder
� O '�� GIBSON COUNTY AUDITOR
�r/legaldesaiptim Reco number Paqp,�y�
_ . i , 0 3. o o/. /`i �- o d-� a�a // J 4
Mw(qype/ Contract'uWebtedness unpaiG as of Mortgage I Cor�hart m0ebtednvss unpaid as d Is ihe app&snt 1he sale
Mamh i. artem year date ot appGmtion legal or equilade awneR
❑ Yes ❑ No
tt owned wiih someorre aher ihan . indinte weh wMm
narne m remN is diRerent ihan that of aDP��ca�l irMinte bebw:
Name of morigagee or mnttact sWer
naaress uf morcgagee v mio-aa
awner m
sfate. aM ZIP code)
—'_'— "'—.'" �' _`_._..—._._. _._-1
D�-�„����.o�::�?..0�1.......; E
� c��-a �o. .,:.��ol.�........
� 1 �r%�'�.c�
I �— I � I p—
Signawre W CamN Aueitw
I/ We certify under Ihe penal
ovmer I mntract buyer of the
inawre for+�ers M1Arertrel
rnsident a0dres
?S� Si
the above
Gl. �-P�
�, � ��,
)UNTYAUDROR
20 20
perty in 9uesGOn: Mrwa�y Asse5se0
�openr ❑EV,rw�Mwss�a
Mow�e r� nc ��.
'/ .�v9e
Has �his detlut]ion Eeen requested on prOpeM1y
fot C�rterY W� r-� __ r-�
20
Date (rtqnfh, daY Y��
2q
regoing infomialion is We and correct arM that the applinn[ is a resideM o( Indiana aM
appliralion is filetl.
um0ei antl stre¢f, CGfy, sfale, aM ZlP aotle)
L.�,, � �- �i�nc/ S.�i✓ Zf� fLY
I Power o(Attnney rn by IC 61.1-12-0.7
Mtlmss af autlur'¢ed C�� (numberard snee4 t+lY. state. and
oace p,KK,rn. aar. r�