HomeMy WebLinkAboutMortgage_Estep (4)" STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS 7ownshi Year
_ FOR DEDUCTION FROM ASSESSED VALUATION
Slate Farm 43709 (R70 H7-08)
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To 6e filed in persm a by mad with the CauntyAuditor d the caunty wfrere fhe popeAy is located.
Fling Dafes: iJ Reel PiopeAy: Must Ide dunrrg the year fw which the deduction is sought.
2) Mobtie /Marnilactured Homes irof essessed as Real P�operty. Musl file Ouring tlre tweNe (12J mmfhs�� Marqp�.t'of each yea�
Ute detluction is sought. G +�'`�'
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See reverse side7oredditional insbucfions arxl qualificaGons GIBSON COUNTY AUDITOR
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H ro. what ¢ his / her eratl sha�a d interasl7
C�ma on recatl is dAfereM Man tha� of aGG�1. indimte bebr..
Name d matgagee or mntred se0er �
Address W moripapee or ardracf seller (mm6erand s�ee[ �'. sFale. a
Nama d auigree w ather wmer n hdder d mortgape —' _
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Yes ❑ No
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I/ We certify uMel ihe penalry of perjury ihat ihe above arW foregoing'v�formatan is true and cwreU and that Ihe applicant is a resideni of Indaria aM
avner f cont2d buyer of the aforemendoned property on date applrcation is fiied.
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aulhoraed by dWy ezetvbd Power o(Ntbrtrey u by IC F7.
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