HomeMy WebLinkAboutMortgage_Brittingham (3)� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_, , FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R71 / 6-09) . �
S,�,� j PresaiGed Dy DeO��M af Laml Govemmerrt Finarice �
F'le
INSTRUCTIONS:
To be filed in Farm Ned wiM:
person a by mail wilh the CounryA Witor or Counry Recorder o7 the counry where the property is located. A P 1 2(�'
Fi!'mg Dafes: i) Real Property: Must file durirg the year for which the detluction is soughL 1� p��ry quditor
2) Mo6i7e / ManuleGured Fbmes rat assessed as Real Property: Must file during fhe hveNe (72) monfhs O
6efae March 31 0/ each year the deduction is mught � Counry Recorder
See reverse side /or addilional instn�ctFOns aiM qualifications. v'
InppGrant(ownaraconvactbuyel-aee re sree) � . GIBSON COUNTY AUDITOfl
��T � Key nimber / legal descriD� RemrE numbc Page number
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3R�.T�":t^.
az d A/vtgage/ Contraa'ude6tedness unpaid as N MMgaga I Contract
Mard� 1. a�rte'rt Y� date of aPP��
ema share ot intereu? tt owned wiN sameme oNm tl
than lhat d appOcant, trdifate below
Nama of rtartpagee a mnaaU seqer /� �_ C�
�
Mdr� of nartga9ee w mntract x0er (num8er and straet, , smte, artl i
Name of assignee or other owner or hdder of morigaga
AACrass of assignea (numDereM streeG ary, stale, and ZIP tode)
Does eppfifak ovm propercy in any oU�M I If yes. what wunty7
cwnry n Indiana? ❑ Yes
❑ No
Deduction appfoveE In �he amount
zo I zo I 20
Sig�rohxe W Camb AuOitor
I/ e cerOfy und Ne penalry of
owne. � oya�aa re� ot Ne aror
�qy� fi���) �
a�
streeL
the above antl
property on da
w
ritaWe amrYi
Yes ❑ No
is the p'operty in Question: MnuaOy AssKUd
❑ Real RopeM ❑ nrmua�N A�e�ed
A ll����ve,- �vo.. �Q/.� ... --
W�at Ta�dng Distric ••
Card i\�O. . �a,c4,. J...
)UNTYAUDROR _._' 1 `�S�C�y.C� •••••
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cw�ry � oace (monN,. ear. r�d
ig informatlon is we and corteG ar�d that Ne applirant is a resident of Indiana and
ation is filed.
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