HomeMy WebLinkAboutMortgage_Marshall (2)"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ • FOR DEDUCTION FROM ASSESSED VALUATION �
State Fam 03709 (R77 / 6-09)
�� � P�eSaibeC M DePartme^� a! Lasl GoremmeM Fuw�m -
File Mark
wsrnucnoNS: JUL
To be filed in person or by mail wiN the CountyAurlitor or Counry Recorder o7 the couniy wheie the pioperty is bcated.
Fitirg Dates: 1) Real Property: Must file durirg fhe year for which the detlucfion is wught. � Counry Auditor
2) MobBe / ManufaCUmd Homes rat assessed as Real Property Must file during the fweHe (72) rtanfh �y
befae March 37 of each year the deducfion is sought. � .L�V�nry Recorder
See 2verse side fivaddifiuna/ inst/uclions aM qualifications. GIBSON COUNTY AUDITOF
AoNranl (owrer or mnfrdC 6wer - see mStricDans m m`ersa zifel _'
0.sessM vaAie af reel PmDertY a d
Marti� 7, armrt year
il ro. what Is his / tcer e�mC share ol
If narnB on 2CON
�a,o-ar� uoe.
Key mmber / kgal EewiPtion Recoid number Page rwmbri
A1�--l�g9-1�'-3�`�-0oo.53S-ba-6 �oro a99/
mh 1 e/ Contraa 4d�tetlness un0aid as W Morigaga I CantrerS uWebtedriess unpalE az of Is Ne app(rcant Ihe sda
Ma r^a�nretrt, Y�/� Cate of avP�� �al a eNmde v.meR
//� y JJ 7 ❑ Yes ❑ No
rtprtqaqce or oontraa sr�er (mmbe� ard
Nama W essignea w othu ovmer
Adtlrass ot assignoe (numDar aritl saeeG my. slete.
Dces epyifaM wn praperty in any oMer
munty in Indiana7 n Yes
❑ No
20 _
� Si9nauue d Cwa
�i i we cerury
rnmM / con4
� SpnxNre�
FW mi0ent atltlr
�i k0 �1 i
MB OmouM aF.
�_
buyerofthe
COUNTYAUDR
20 _ 20 - :
Counry
Is Me poputy in Questim: Mnua�yASSessetl
❑ � �nv ❑ n�u�y' a�sea
eeoaie rrome nc e��.
DI':111'CP 1�'�..4:'i��.�,7,.... ....
cat�� �vo. ...�991
.........
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Nat Ne above antl fofegoing intortnation is We and cortect and thal Ne applirant is a resident of IrWiana and
ned property on date application is filed. '
/ Oate (montA. daY• l��
�Y.
aeison eWiw;ma o'y OWr ezecutea awre. mAmomer or Er �c 67.1-tz11.7 I eate (monu,. d�: ree�
AEEress ot auCwr'¢ed Ge� (numOeraM snee4 uN. sta(e, en0 LPcotle) .. .