HomeMy WebLinkAboutMortgage_Carlisle"'* STATEMENT OP MORTGAGE OR CONTRACT INDEBTEDNES C n 7' s p vear
_ = FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn 43709 (R77 / 6-09)
S t Presai6ed g' DeP��m or L.aml GovemmeN Firence -
Mark
wsraucnoNS:
To be (led in � �� ���
person or by mail wiN the Cowry Auditor or Counry Recorder o/ Ne county wheie the property isbc�t�d
Filirrg Dates: 1) Real Pmperty: Must file durirg the year for which the deducUOn is sought. O'� � Counry Audimr
2J Mo6ile / Manufactured Homes not assessed as Real Property: Must file dunng the tweNe (72) mont6S IT
before March 31 ofeach yearthe deduction is sought GIBSON GuUNT �ounty Recorder
See reverse sid� additional instroctluns end qualifiw[ions.
Appfram ( fam-drl6uyer'see m.stri�aQns m reverse si� ., � /1
4
eC rahm d mal pr�erry as d
1, qne�n yr.ar
It no, what Is his / her e�ct share of interest?
It nartre m 2mtd is ddfgent than Nat af appOran4
rtwutgagee or
legaldesaiption
'ude6te0ness unpaid az of
O � /
mntrad se0er (numDar erd sheeL �+N. stam. and ZIP rodedl 4 __
V
Name al assignee w other owner or hdder ot morigage
AAtlress ol assignee (number aM svee4 ary. s�ete, arx
Ooes ePplimnt wm propnrty in any oNer
munryinlnOia�? ❑ Yes ❑ N
Deductirn approved in ihe amouN af.
20 20 _
yes. what munt/�
�
Reco�d number
"uWebted�ress �mpaid as o(
Page
v� u No
� P�Pert1' in Question: MnuaM assesse0
�Real Prope�ty ❑ MnualyPSessed
Modle Horr�e pC 61.
�
/ p11���cr �p...� •.. •
5n �a . .
�aC� ��' � fvn,�15' �
COUNT ��" �
20 I 20 1 20
Ie0 m P�WP+IY
Yee�
20
I I We certify under the penally of perjury that Ne above arW foregoing infwmalion is We and correU arW that the applitant is a resident of Indiana arW
owner I contract buyer of Ne aforemerrtioned property on date application is filed.
vawre larnefs /id namel . _ . . Date (rtmfi, daY. )98A
�y n y c
Person autfwrize0 Dy Euty
person (number antl svaet, ary, stafe, aM LP oode)
Date (nronN, day, yae�