HomeMy WebLinkAboutMortgage_Bonaparte"'* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
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� FOR DEDUCTION FROM ASSESSED VALUATION
� State Fortn 43709 (R71 / 6-09)
�' ,�,� 1 Presaibed by DeparNierd of local Ga+emmeM Finance
File Mark
wsrnucnoNS: �UN
To be filed in person w by mail with Ne Counry Auditor or Counry Recorder of fhe county whe2 fhe propeRy is bcat . F ��
Frlirg Dates: 1) Real PropeRy Must �Je during the year (or which the deduction is soughL County Auditnr
2) Mo6de / Manufac22d Homes rrot assessed as Real Property. Musf file during the tweHe (72) mont�rs'� �
6etore Maah 37 ot each year the deduction is sought. nry Recorder
See reverse side Ior addiLOnal instructions arx/ quali�rations. GI BSON COUNTY AUD ITOR
MP� rarcontrarl6uyer-seereYnctionsonraversesiie) "
_ .._' _ __.. _° . _____--_ ..___._._.._- _
a6- _D'J_ 020 -P)03.,135-Oa- o�l 306
rit year �� a Mart� 1, awrtentraG intlebtetlness unpaid as of Mon9a9e�l��Co `tr� inCebteCness unVaid as ol is�Newp� t th�r
�SS QO� ❑ Yes ❑ No
his / �er esa�2 share o( inte2st? I/ mmed with someorie ocher t�an spouse, intlicale with whom
If �ume m reco�tl is ditferrn� than that o( aDP��4 mdirate Oebvr
Name m
Address of rtprt9ay� or mntrac]
Name at ass�ee or a'ha ormer
stree4 uty. s+a.e.
A4tlres5 of as9gnee (number a�M slreeS my. sbte, antl ZlPcatle)
Dces applirant wm 7�PenY in any oiher If yes. what countyi
munry in IMena? ❑ Ye5
❑ Na
Detluctirn appo+ed in ihe
20 � 20
Auditor
I/ We ceRify under the penalry ot
owner I contrad buyer of Ne afon
20
the above
P�aPeKY G
Whal Tavtg DLStric
)UNTYAUDROR
20 20
Counry
Is IM V�PQnY in 0��: MnuaDY Avesse0
❑ Real avveM 0 �M �
/ / � 1\
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o�`' �p�
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20 _
Date (rtMfh. OeY• Y��
ZO _
regoing infortnalion is We and mrtea and that Ne applinnt is a resident of IrWiana and
applicatlon is fiied.
Person auflrn¢N Ey dWy esecvted Power of Attorney m by IC G7.1.12-0.7
PdCr�s of aWm�"ned person (numbera� slreeL city. stafi. antl ZIP code)
n�� (rna�n(h.