HomeMy WebLinkAboutMortgage_McDonald (2)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
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s FOR DEDUCTION FROM ASSESSED VALUATION
� State Fwm C3709 (R71 / 6-09)
•�' �«. j Preuribed by DeG��rd al Laml Govemment Frence
�S7RUCTIONS:
To be lled in person w by mail with fhe CounryAudita or Counry Recorder o� the counry whe2 fhe property is located.
F�Ting Dafes: 1 J Real Property Must file dunng Ihe yrear for which the detluclion is sought.
2) Mo6�7e / Manufactured Homes not essessed as Real PropeAy: Must file during the twelve (72) months
betore Ma�ch 31 of each year the deduction is sought.
See reverse snde for additional inshuctions arM qualillcatbns.
Ap t(ownerac«itravbuyAr- �resniceonsmra�e(i��/ YX1Jt/Y�i / Y"V .( 7KJ �-C./f
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whal is his I her e�ad share OI interestl
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i/ Contract bWebieaness unpa7E as
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m record "s tlAerent ihan Nai d aCP��I oMifate Debw.
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stree4 �: state.
Name N assignee or dha ownet or htlEer of nprtgage
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spouse,
�nt�60�itor
GIBSON COUNTY AUDIT
Rem(d numDer Page num0ei
Is Ne eppOrant Ne sole
kgal w epuitade ameR
� Yes ❑ No
M c. �oul}�p Ttssc /��ur
N� �EQ ELAsv�
� �- y�9a. �
IOces apptifanl own pmpg(p�'in any oNu I 1! yes. what count/� I What Taring Disinctl I Has Ihs deduction Daen requested m P�G�Y I
counry in Intlana? I.S"i r-i _ for wrtent Y�n r-� . r-� _