HomeMy WebLinkAboutMortgage_McConnel"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
__ FOR DEDUCTION FROM ASSESSED VALUATION
• Sfate Fwm 43709 (R71 / 6-09)
�' f Presrnbed M DepartmerLL of L.o�al Garemmerd Fu�ance
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INSTRUCTIONS:
Fortn f�ed wOh:
To 6e filed in person w by mail with Ihe CountyAUditor or County Recorder of the co�nry where the Ewoperty is located. O T� O���❑
F7ing Dates: 7) Real Pmperly Must file dunng Ne yearlor which the deduct'an is sought ii�j�nudimr
� 2J Mo6de / Manulactured Homes rat assessed as Real Pmperty: Must file dunng the tweNe (12) months
before March 31 of each year the deduction is sought. ❑ County Remrder
See reverse side for adtlitional insWCGOns and qualificafions. �'
qpp�wm oroont�ctb`uyer-seereso-kmnsonrev�seside) n n GIBSON COUNTY AUDITOR
Tab �stricN Key num6er / legal desaiption
a(o-i -�8-ao3-ooi.9��t-o
As¢sed vahie d� qoper;y as d Mortp age I ConbaC intle6letln�s unpaid as of Mortgage /(
MarM i. m2nt yrar March 1. airten{ �. `S� � tlate W appG
� 7C�
xRi816 hi5 / h2f CF2CI
m remftl a diffem�[ Nan
i �nvas� «crno-a� �
Mdrea N rtiat9a9ee w contrar2 sWer (number and
Name ol assignee w oNer owner a halEer of rt�ortgage
AtlCress of asvgnee (number ard shee; wy, state,
Oces appfidnt own poperty in any aNer
munry in IMana? � ..
If owned
state, aM LP code)
�
Remrtf number Page num0er
009 s 3ti�
: unPaid as d Is Ne ePP��t Ne sde
legal w equ(ta61e oxnM
❑ Yes ❑ NO
iMicate wiN whom
Perry in 7uestion: MnuaDy AswsuM
a.ovenr ❑amuanywsses�ea
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Card NO. .�.��}-�..........
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