HomeMy WebLinkAboutMortgage_LeonbergerSTATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
__ = FOR DEDUCTION FROM ASSESSED VALUATION
�• State Fom1 C3709 (R71 / 609)
�' � PresaiEeE by DePartmerrt of LuW Govemment Fnanca
Fil
INSTRUCTIONS:
Form Ned wBh:
To be filed in person w by mail with the CountyAUditw or Counry Recorder of tAe county whele the property is located. � p 7j�'n
Filing Dates: i) Real Property: Must file dunrg the year lor which the deduction is soughG �`i J�urlty�AlMitnr
2) Mo6ile /ManuFactumd Homes rat assessed es Real Pmperty Must h7e dunng fhe M1velve (72) months
be(ae MarCh 31 of each year the deductinn is swghG ❑ �^b R��
See reverse side lor addifiWnal instrmctions and qualifncations.
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Assessed vaNe d real D�O�Y at al Mortgaga / Contraa h
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If nazne on �eootd is Eitler�t than fhat of appOmnt, trMimte bebvr.
Name of trortgagee a mntr3ct 5eller
Mdtes of mort9a9ee w mntrect se�er lnunbrl end streret �Y 9a�. :
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GIBSON COUNTY
Remrd rwmDC P�
res u No
is C�e D�PenY in Vursoon: Mn�e��Y Assesse0
❑ Real ProPenY ❑ ?!?��Y�
(number enC atreet mY. stefi. artl LP catle) J% `J' A� /•• W�_— �
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pmperty in any oNer If yes, what mur �� /'�
❑ Yes ( 1.
❑ Na �f••
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i I We cerufy under Ne penalty o( perjury that the above and i
owner I c d buyer ot the afo meMioned prope n dat
Sip re � rS rertre)
F d� ��p pt ny erarq sl+eafyry � 2!P m
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Person autlni¢eE Dy E�Ay ezewted Power of AltomeY or by IC 61.1-12-0.7
Pddfess of aWia¢ed De� (numberarM saeet. dtY• sfate. ard LP code)
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