HomeMy WebLinkAboutMortgage_Wright (10)"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coum
__ : FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn 43709 (R11 / 6-09)
\ I P2saibetl by DeD��n� of Lxal Govemmerv Firwu:e
INSTRUCTIONS:
To 6e �led in person w by maii witA the CountyAuditor o� Counry Recorder of the counry where the property is located.
Filirg Dates: 7J Real Proparty: Mus! file during tha year for which the deduction is sought.
2) Mobde / Manufactured Homes rrot assessed as Real Pmperty: Must fiie dunng the nveNe (12) months
6efole March 31 of each year the deduction is scueght.
See reverse side for additiona/ insfrucfnons arW qualifications.
cide
e
Coun�y Auditnr
Counry Recorder
npp5rant(owrorpc�mt2C6uyer-seere5nrmum; �e�se )i 1 GIBSON COUNTY
/ �
If m,
e0 ralue d real peoperty
1. aare�V year
m recntl's Cilferenl Nan Nat of appGOnt, 6M'vale 6ebv`
1 mort9a9ee m m�vaa se4er
Atltlress of matga9ce w contracl sWer
Nartce af assignee a oNer owner m
i _ ' � _ � � Recoid �bu Page rw�pa
O
a intlebtetlnPSS unpaid as of Mortgage / ConYacl i�Webtedr�s unpaitl as d is Ihe app�rart[ Ne mk
rar tlate of appGotion iegal w epuBatle awnefl
?,�% . ❑ Yes ❑ No
It owned wiM sa�ne other Ihan sPO��. i`dkata wiM whom
state,
snee4 ary. slate, and ZIP code)
Is tM property in puestion: MnuaOy Assessed
❑ Real Property ❑ Mnually Psse�sed
Mohle Home (IC 6
�
pces apptitant arm P�VenY in any oNer I If yes. what munt7/� I W�a� Ta�dn9 Dslxt? I Nas tnis tleEUCtim Deen repuested on 7�W�+�Y�
coun m Ind'ana? ❑ Ye5 ❑ No f« w�t �� ❑ Yes ❑ No