HomeMy WebLinkAboutMortgage_Hudnall"'n STATEMENT OF MORTGAGE OR CONTRACT IN ES n Township vear
_ FOR DEDUCTION FROM ASSESSED VALUATIO �� i�
State Fwm 43709 (R17 / 6-09)
�' S Presaibed by DepartmeM of Loral Govemmer�t Ftwr,e �EB 16 2011
w File Mark
INSTRUCTIONS:
To 6e filed in person o� by mail with the CouniyAUdito( or Counry Recorder of the county wG�erc�t located. F� �� �'
FrNrg Dates: 1) Real Property: Must file dunrg fhe year for which the deduction is wught. Counry Audiwr
2) Mo6i/e / ManulaUU�ed Homes nof assessed as Real Property Must fi/e dunnq the hve ( onths
beforeMaich37oleachyearthedeductionissoughG GIBSONCOUNTYAUDITOR ❑ �untyRecader
See ieverse side for�a�dditional instrucfions and qualficafioyns. � �
� Appfirant (owner or#ontra�lpW'er :see les�chons q^ 2� sYe� i./1
MMgage
Martl� 1, i
no, what's his / her exad share of intsest?
If riame m ieoortl b dtlferen� ttan ttut o( appOCani, u�dicate belmr.
mortgagm v cantraG
(number aM sheet,
N+me o( assionee w dhni armer or hdder of mortgage
Dra�ver NO.. .�.�.fl:�.........
Card NO. .. ��.�.> .............
�, 1e��6D0 . b�
20 20 20
I/ We cert'rfy under fhe
owner I mntra r
�,�W�e hdreme;
J
I ' e aEd`ess a
�` �/
rson auNa¢ed by A
of
aii-oa
�
NTat Taarg
20
p
Pape
unpaid as d Is the appli�ant Me sole
legal w eputtade ox*re!!
n Yes n No
Is tlie ProPeNY in OuesOOn: MrueDy Assessed
❑RealProperry �lvmually0.ssessed
bloWle Fbrt�e fIC 6
Fias this OeCuction Eeen reCUested m pmperty
fw wrrenl Year r-i .. r-i .
� � �
�rri�-1,v— � �� ���� � °� `,�,'. °�-/(o-f i
that Ne above a oing information is We and cortecc aM Mat Me appli�ant is a resident of IfMiana and
�ed P�nY � aPPlication is filed.
PowerNAttpney
and LP mtle)
Date ifrqnfh. E2Y. Yee�