HomeMy WebLinkAboutMortgage_Fouts"�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS ip Year
__ : FOR DEDUCTION FROM ASSESSED VALUATION
� � State Fortn A3709 (R71 / 6-09)
� 1 Plesaibed by DepartmeM of Lacal Govemment Fi�
ur
�asrRUCnoNS: NOV 1 5 26�f ^^a`�`
Form hled with:
!0 6e filed in person or by mail with the CountyAud'ROr or Counry Recorder o! the county whe�e the property is lo�te�.
Filirg Dates: 7J Real Pmperty: Must file dunrg fhe year lor which the deduction is soughL Counry Auditor
2) MobBe / Manufactured Homes rrot assessed as Real Property: Must ne during the fweNe (12) months r",
6efoie March 37 ofeach yearthe deduction is sought GIBSON COUN Y A �TOKnty Remrder
See reverse side Ior adtlitional instrucUOns and qualfications.
Aoo4�nt (o�'vrer a mnvaC buyer- see resbirlfons on reversa sF/e) A
y�a�iasw
1'�
/ her e�2 share of intrlest?
er / legal desaiption " Remttl numha Page numba
. a_��_ 3o3-oa3. Y33 � o,Z8 d,d/� 5'a`J
Mm(qage / Contraa IndebleErress unpaid as of Mortgage I f.antraa udebtedness unpaid az of Is Vre appfmant ihe so@
Mar� 1. a�rte�rt ynar tlate o( eAP�b^ �egal af M� rnmel?
6 O D ❑ ves O No
u�a�m��an — --•-..w+h+�,
If rwne m rem�d a dAferent Nan Nat of appGrant, tr�dibte bebw
rw�e m rtnriqayee «m,uaa seuer
shee; cdy. state. ard ZIP rode)
mortgage
(num6eraMStree4 �l: �. antl
Dra wer i1'0.... a� �_� ......
R_- ca�'d NO. .:. �� �
Q �4n� �IOO,ct� /.....
I Oces apptirant awn poperty in any oNer I If yes, what munty? 1 What TaAng DislricY? I Has Nit deEucfion been req� m property !
munry in InOiana? ❑ Yes ❑ No I for arten� YraR ❑ Yes
❑ No