HomeMy WebLinkAboutMortgage_Woods (2)'°n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coum
• FOR DEDUCTION FROM ASSESSED VALUATION
v� � Slate Fwm 43709 (R71 / fi09)
�S � presvlp¢C by Department ol Local Govemment Frence
STRUCTIONS:
To be filed in person w by mail wiM the CountyAuddor or Counry Recorder o7 Ne counry where the property is located.
Fifirg Dates: 1) Real P/operty: Musf !!e durirn� fhe year for which the deduction is sought.
2) Mo6de / Manu/actured Homes rrot assessed as Real Property Must file dunng the hvelve (72) months
before March 31 0/ each year fhe deduction is sought.
See reverse side for addiLOnal instructions and qualficafions.
>�K Ml� ermntrarJbwaz-5eerestfif1i0n5on2�erseSYle) �
�e � a � noae�;y as rn
� 7. arma yrar
what a his / her exad share o
It name on recad a 6tfe�ent Nan
Name of mort9ajee a rnnVa�l sener
of
Key rnimber / legal desaiptim
2/� —n � _3l �
�,����
mat9agee w cantracl se�u (number end slreeG
pr othu owner w halder of mortgage
Dces applimnt own popeety in an
munry in Intlana? n ..
�.'�T`J
street tiry, s!ale, and ur caae)
o a
y oNer ^ If yes, what muntyl
�s ❑ No
�, ,p 3 ���d���
���oun ecorder
GIBSON COUNTY
R¢m(d numbrl F
�o -o0D . 9 73 -o/� �
unPaiE as N Mortgage I CmRaG mdebtedness �mPaid as d� Is Ne ep
Eate of aOP�� ,� _ legal w�
If avmed
GR791L�1:i
cpan approved'o� ttre amoum ot
2p 2p _ 2p _ 20 _
Caunty
sde
'(,�U� 0 S, �S I EUE�1 L-
�� -3y55
�� ��-R/.tiV1��i ,!�"�ll�.-i��
Y..v...
�,�� �02c-"lil'T'
i ��
� ,� �3v, cv�
�
p=_ -_I _.�__ ___I_ - _ -2p_
�Y. Yea�
I/ We certi(y under the pe Ity of perjury M the above arW foregoing infortna�on is We and cortect and Nat Ne applinnt is a resident of Indiana arW
owner I contrad buyer of the afrnementioned Droperty on date appiiration is filed.
.,.�n� rss.rtiwwmnl Dale (mwiN. daY. Y��)
resident atldRSs
G l i:.J—
PGSOn
street, aty, s/ate, artl
�
of aNharzed perso� (num6e� aiM stree4 �/N. �te, aM LP code)
oa�c (ma��n, dar,