HomeMy WebLinkAboutMortgage_Garred""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship vear
__ . � FOR DEDUCTION FROM ASSESSED VALUATION
Stafe Farm 43709 (R71 /6-09)
i,.,. PfesviCetl M Oeparvnetd W La'al Gwemmcr�l Firwce
le
wsrRUCnoNS:
b 6e filed in person w b mad with the Coun AWitor w Coun Recorder o/ fhe coun whese the F� ���
Y b �Y �Y P�PenYislocated. � �n'�
FHny Dates: i) Real Property: Must file duri�g fhe yrear Por which (he deduction is soughL O V ,y{�4 d;�,
2) MobAe / Manufactured Homes not essessed as Real Property Must file during the M1veNe (72J months
6efora Maich 37 o/each year Ne dedudion is saghG ❑ Counry Reconfer
See reverse side lor additional instructbns and qualifications.
�f0f�byr"''tBereS°'�"�°" `�,�� , n GIBSON COUNTY AUDITOR
f vd�c d rral pfoperty av d
anerrt �r
M. whaf IS Iti5 / Icer eYad shara Of intere5t7
rerre m remd's Sfferent than Uat o( appi
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A1p�p�ge / Contraa 4
Mard� 1, wrtent yeer
r+a�re or rtnrmav� «ca,uaa uuer �/
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Pddress of rtnr�a9ce or mnhaG xAer ( and s0
Name W asvgnee w alhej wmer w Imbe1 ot mortgage
Atlaress or astignee (nm�b� ertl strret mY, s�afe. end
- �. a�.s oa�
s unpaid es d Morigage / ConYact iridebtee
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Oce4 epplrc2M Orm propCM1y v� em/ ONer It yes, v
m�n�y �� ina�,aa
❑ Yes ❑ No
C �`�,��I. V�-+ .
Dratiti�er 1\'0..�(0 ,..
Carc� 1\r0. ...SSS� � ,...
� �,..�_... .........
owner I mntract buyer o� ��,. __
� a�M�dbYOWYezeWteOPwM
MtlressofaWw�'uedperson (numbera�q
srnnearie a�hu
Wha1 Tadig Distrkt?
GOUNTYAUDROR
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'o io
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ves u No
Ls Cie W�7ert1' m CuesOOn: MtweAy P...,eSSeE
� Reai �ovenv ❑ a„„�,anr ws�ssed
Has Iha dedudion Eeen requested m p�opeRy
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.nd tomgoing infomiation is We and cortect and Nat Me applirant is a resident of Imliana aM
, date appliption is filed.
1 1 Date (rtbnn�. daY. i�aA
pry. slate. eM ZIP mOS)
Date (rtonM. Oay Yea�