HomeMy WebLinkAboutMortgage_Neaveill'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS coun�
__ � FOR DEDUCTION FROM ASSESSED VALUATION
� State Fortn a3709 (R71 / 6-09)
S,,,, f Presaibed �y DePa��M of Local Govemment Fuanca
INSTRUCTIONS:
b be (ied in person w by mail wifA the Counry Auditor w Counry Recorder o1 the counry wl�e�e the properry is located.
Filing Dafes: 1) Real Pmperty Must file during Ne }rear /or which Ne deductlon is sough[.
2J Mo6ile /ManuFadured Homes rrot assessed as Real PropeRy: Must file dunrg the tweHe (12J months
6efae March 37 0! each y[sar the deduction is soigAt
See reversa side for addifional instructbns and qualifications.
', Aodioe7t (owrora muraC buYU - aee reat+iryW+s m rererse side)
DistriG Key rw
-e�� J otb
ed raqm d mal pmpaty as of
I, amnt yCdr
hat is ha I trer e�mG share ot interest?
B n CC��4uditor
Lj �Counry Recorder
. ���t-� ;cr�i�C.c. GIBSON COUNTY AUDITOR
xr I legal desaipti Remrd numDc Page rwm6er
-/ _o - o�-000. �S- o,�� 0 9 77
Mard� t e/ ContraU intleWedness unPaid as d Martgage / Con�-aG trMebteMess imG� a d Is ihe ePP��I the sole
wrrern year date w eoW�� �� «eauitaWe ow.�M
Q (� ❑ Yes ❑ No
If awneE with wmm�e dhu Nan spouse. IMKate wM wlnm
on 2cort1 is drtFerent Nan Nat af aGP��t 6�dicate Eelo.r.
Nama ot rtangagee or mno-au seaer
������,�
w dha owner or haaer at mortgaga
.��.
pry, slate, antl Z/P ootle)
di�n[ wn WuPenY in a(ry oNer I I( yes. what munt/1
Intliane?
❑ Yes ❑ No
What Ta�d'g D'sfnt
Qurstion: Mnuelty A�ted
b ����N�
►��� Q�-�P ,_
Dra„♦c�• NO.Q!�.�'.�..'........
Card NO. ..�°?• ! � .c0
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