HomeMy WebLinkAboutMortgage_Norman"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION �
Stata Fortn C3709 (R77 /6-09)
� Pr�mbetl M DepartrreN af Lnd Gwemmer2 Fwrce
F
INSTRUCTIONS:
fi 6e fifed in person or by mad with the CounryAudi[or w Counry Recorder o( Ihe counry where the property is bcat�1 1F� p
FrTtng Dates: 7) Real P�oparty: Must file durirrg the yea� lor whirh the deduction is sought `� C T i unty Aud'Rnr
2J Mo6�7e / Manulactu2d Homas not assessed as Real Property Must fiie during the hreHe (72) months
6efore Melch 31 oJeach year Ne deductiun is soughG ❑ Counry Remrdu
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See reverse side (ar add�al inlLUtNons and aualifirations. v' i,' .
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GIBSON
�°"'=`3 �-4oa -oo�: (�ll - pa �b� 0 P�a 3�d
/ Contra ness unpaid as d Mortgage / CantralY'viEehtedness unG� as of La Ihe ePP�� tlre mle
u"���DD '��"� � o 0
Yes No
It owned with mmeorre other ihan s0u�se. uWi�ste with whom
tt name m iemE o Srte2nt Nan tl�at ot aPP��t hWinte belmr.
or mnvau
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Name ot assignee w dhu wmer or halder of `mtgage
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A4Cress of assignee (numDer end saeeG �: atate. aN LP cade)
Dces epplimnt wm property in any oNtt
mumy u� Ind'afuT r-� ..
Is Me property in Questlm: Mnua9y Pssessetl
❑ Real Roaertv ❑ ?nnualN Pss�ed
�m heen rMueste0 an p�operly
� ❑ Yes ❑ No
� O ^ .n �l1�i1. COUNTY AUDROR
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Card �0' eO
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I I We �� �� _.� and foregdng infortnation is true and cortect and that Ne applicant is a resident of IMiana aM
owner 513 � ._..iea ptoperty on date appliptlon is fileG.
»�i -. /\ . 1 Date (�. deY. Yaa�
J appikant (rwmbar arH stree4 dty, sfate, end ZIP cotle)
y W O�0 Pc�nce�o., R� �N �l-7/v(c
Ady execu;¢p Pcwer o/ Amormy or Dy IC 61.1-12-0.7
person (numberaM street dry, smte, aM LP mtle) .