HomeMy WebLinkAboutMortgage_Schnarr"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tawnship vear �/
_ FOR DEDUCTION FROM ASSESSED VALUATION {�
• State Fartn 43709 (R11 / 6-09)
S � Presaibed by Oepartment ol Lod Govemment Firence
File Mark
INSTRUCTIONS: �Ap
To be hTed in person w by mail with fhe CountyAUditor or Counry Recorder of the oounry where the pioperty is locat �� �
Fi7irg Dates: 7) Real Pmperty: Must file dunng Ne year for which the deducfion is sought. Counry Auditor
2) Mo6ile / Manufactured Hanes rrof assessed es Real Property.� Must file dunng the hveNe (12) mon(ps� ��
6ehre March 37 of each year the tleduction is sought. unry Recorder
Sae reverse side lor addiLOnal instruc7lons and quzlificat'ans. GIBSON COUNTY A
�
Ta�ung Disvirl Key nufiher / kgel tlawiption ' Remrtl numper Page rwmEri�
`u0 ' ��-13- a - oo/. / -O � O1 1 �,5
Assase0 �ahie dmal propPity az ot Mw1p age / Contract IMebteEness unpaid az ot Mortgage / Con� ude6tNn�s impaid as d Is Ihe eppfimnt Ihe sok
Marti� 1, anrst year Ma2h 1, wrteM yeenr ` Eate W appGntion legal p eQUttade rnmeR
� 8S1 ❑ Yes ❑ No
It no. what is tus / 1� e�o share af intnmt? tf owne0 wiN someane oNer than sCa+�. udimte wlih wlnm
' nartre m �ecortl a Otrte2nl than inat a
Name of rtnrtga9ee or cantrarl se0er
aeeress m rtnrqagee «oono-aa seuer
Name of assiryiee w Whu wmer w haL
Add�essatassegnee( �C.!/1'l./}
Dces appimnt am P�DP+�Y in anY oNt
counryinlntlana? ❑ Yes
OrLUtlion approved N the amount of:
ier and street �l:
mortgage
Sfafe. Bntl ZIP cod�
If yes, w
No
zo— I p— I p_
Sigriature W CounbAyUd-itot ]�-�� �
� ' / • / /'�T/ ,
I/ We certty under the penalty of perjury
owner I mntracl buyer of the ataementic
Pssan authwaetl
above and k
�ertY on date
�
Distri
. �
peny in question: MnueM �
�PQnY ❑M1nUa11yhsse55Ed
- - -.n �uesteE on propeny
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Dl'a{VCY 1�� �/ � �
COUNTYAUDROR � �•.`:'t,0............
Cal-d ]Vb. �.....! �J� :
zo_ - �I�,Fi/(c,00......._
Caunry � uae v.�... .
appGrant (numEer antl street, dfy, state, anE LP mtle)
person (numbe�aiWSnee(cily.5tate,andZlPCOde)
infwmalion is W e and cortect and Ihat Ne applinnt is a resident of InCiana aM
ion is filed. �
, Date (monfi. daY. Yaa�
�Y,�n