HomeMy WebLinkAboutMortgage_Thomas (7),"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
__ ; FOR DEDUCTION FROM ASSESSED VALUATION
Stale Fom143709 (R71 / fr09)
�' � Presaibed by DepartmeM of Loral GovemrtreM Fu�ance
�INSTRUCTfONS:
To be filed in persOn w 6y mail with the CounryAUtlitor or Counry Recorder of the county where the property is located.
Filirg Dafes: i) Real Property: Musf file during the year for which fhe deduction is soughf.
2J MobAe / Manufactured Homes rat assessed as Real Properiy.� Must file dunng the twelve (12J months
6elore Ma�ch 37 of each year the deduction is sntqht.
See reverse side for additional instmclions and qualificafions.
AppGfant(o,�wrreraconoactbuyer-sRefesMrJionspnrererseside) �
otc� - - u � -
e0 vd4�e of real property as of Mortgage / Contraa intleh
1, drrent year Mam1i t. airtent year
at is ha ! her exac� share ot interest?
on mmrC is dfterent Nan Nat of appliran4 �irvte �ebw:
Name ol rtwrtgagee or mnuarl seller �
Atltlress ot mMgagce a contract se0er (nuln6e� aM sveef, ciry, srate,
Name of assignee or other ovmer w hdder ot mortgage
aM stree( tlry, stale, aM ZIP
property in any other � I�yns, what muny?
D�10 2��044a���
� County Recorder
C.J.
GIBSON COUNTY AUDITOR
Record number Page number
3�3 _oo/. �3 �-o �8 0 / i86
ness unpaid as of Mortgage / Contrac[ trWebtedness unpaid as d Is the appfrcant Ne sde
.. . date a( a 6rntion legal w eputtade o�
�? !l n fi� n Yes ❑ No
h tl�e prOpefty m Gucston: MnuaAy Assessed
Q"Real a'operty ❑ an,ua�y assessea
hbWle Home fIC 6
, �0.�.1..:'......
D1":1\\'Cl' �0•:•• •
Cai-d NO. ...��.��P..........
� � 55Poo �_
vma� r��y o� � 3 ��
i LI Yes �J No