HomeMy WebLinkAboutMortgage_Loehr (2)^'* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun .� . Tovmship Year
1_,. , FOR DEDUCTION FROM ASSESSED VALUATION � /
Stata Fortn d3709 (R71 ! 6-09) � (/
�,�. Presaibed by �epartrtierd oi Labl GovemmeM Fuance -
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INSTRUCTIONS: F� � �_
k 6e fded in person w 6y mail with the CounryAuditor or Counry Recorder oI Ne counry where the pioperty - t2j�
FiNrg Dates: 1) Real Property: Must file dunng fhe year (or which the deduclion is sought S� ` g���� �unty Audimr
2) Mob�7e / Manulactured Fbmes rrot essessed as Real Property Must file dunng the hvelve (72) rtanths
be(ore March 31 0( each year the deducL'on is mught. ,^� ❑ Counry Remrder
See �everse side lor additbnal inshuc7ions and quzlificafions. J. j�� ���
np�ant(owroracont�tbuye�-seemsbica'oyspnreversesife) � � , GIBSON COUNTY AUDITOR
A1sesed vahm d tral pmpef.y as d
Marth 1. w'eb 1<ar
rc no. what k hs I hu ema share af ma
It nartre af 2mtd s dtlferent Cian that c
Nartre at mxtqagce or mntracl seller
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Name of assigncre or aUrer owner w hd
tiratn own
Indiana?
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A1��' ge / Contrarl'v
Marrh 1. anrerrt yeer
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mortgage
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� number Page numbrl
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as a( Is Ne ePP�^t tlx sde
legal v equitade a.ne/1
❑ Yes ❑ No
somerne oiher Ihan spouse. IM�cate wiN wMm
and sbeeS <N'. stete. eM LP code)
w _ 3_ ,yg A�
n any oNer tl yes. what counD/.+ What Tad�g Dstrict7
I Yes ❑ No
is Me P�P¢nY in 7uesGm: MnuaDy AsusuN
❑ Res� Roperty ❑ nrmua�N a�ess�
Modle Hmie QC 6
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555 5
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