HomeMy WebLinkAboutMortgage_Cansler"^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS hi vear
_ FOR DEDUCTION FROM ASSESSED VALUATION
Slale Fam 43709 (R70/71-08)
� ur � Rasaibed bY �W Mient of Lor� GovemmeM Firenre
INSTRUC710NS: F10
To be fded in person or 6y mad witl� the CovntyAuOitor d ff�e county where the poperty is bcateO.
til "mg Dates: i) Real Property: Must file dur"mg tAe yoer (or which the dedudion is sought. �
2) Mo6de / ManulacLmed Homes not assessed as Real Property: Must file dunrg tlie hveNe (72J monUu;Afeilo�i�diar��� eadi year
Ure deducfion is soughL (/
SeereversesideloraOdiTionalins6udionsaMqualrfications GIBSON COUNTY AUDITOR
Appfirant (ownor v oorWaAbiyer- soe ms6idions m ro�,rm sidel
.. . .o� .........o...yp...o.,..w..
- �a -o
Ao�esmd v�a d�eal propery as d Morlgage / Cmt
Ma�ch 1. aareN yea . Mamh 1. amem
s�r
tl ro. wtrdf is his / her e�tl ahare d iNeresYt
7 reme m �ecoitl ¢ Qdle1erd lhan Ihat af apP�l cdimfe balwl
• /od - . D�oD - o a- 8 ,200 �.99 /
x1 inOebledress unpaid as af Matgape / Contrad indeMedness �npaiO as d Is �he app6�N Oie ade
year date a( appGCaEOn . lagal or epuimbk ovrre(1
i7 B � ❑ Yes ❑ No
U wmed wit� someo�re Mer IIWi sGW�. ind'rate wilh whom
� WooaM in Ouastian: AmuaM Assessed
Real PrucenY 0 Annualy llssessed
� r+ame a mat9a9ee or cmtred se0m � - . .._ _ _ __ _— _ . _ I