HomeMy WebLinkAboutMortgage_Pinkston (2)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNE oun ship Year ��
_ ; FOR DEDUCTION FROM ASSESSED VALUATION �
State Fortn C3709 (R77 / 609)
�' � PresQihed by DePa�N of local Govemment Fuarce
w�.
wsrRUCnoNS: OCT 2 POIZ FileMark
To be filed in person or by mail with the CounryAUditor or Counry Recorder of the counry where the property�s 1^aca"f . F� �� �'
Filing Dates: 1) Real Property: Must file dunrn� Ute year for which the deducUon is sought � Counry Auditor
2) Mobi/e / Manufectured Homes not assessed as Real Property: Musf fi!e dunng the fweNe (72) months
beforeMa�ch3lofeachyearthededuclionissagM. GIBSONCOUNTYA DI� CounryRecardu
See reverse side lw additional insVUCUOns arrd qual'dications.
Pi.�Ti7
it �.
e{�urr�ons on revrlse sltl
�'� difdl� �� �
Key numta � legal eesaiafion
-�7' ZBQ
Mortgage / Contrac[ indehteEness unpaid az
Martl�t. artent yea `
tt narne m 2md is difterent Man Nat ol aPP�l "uMicate
�
It axncd wiN someorre
aMsReeL�y,state.aMLPCOde) _
Record numbri
�mpaie as of I U Ne app8rant Ne sNe
iegal w epuitable ox�?
❑ Yes ❑ No
spouse,
Is tlie pmperty in queslion: MnuellY Assesud
�RealPrope�ty �NmualiyAssessed
awner or hdder of mortgage �
D���„-���.o...a0!.........
Mdress o1 assgnee (num6e� arM stree; tlry, 51Ele, entl ZIP cotle) '
Oces appli�nt wm P�PertY in any aher If Yes. what muntyt C 11� U� �. ....��•/• •....••• ;� q� P�ppny
couNy m InOgn2? �¢�
❑ Yes ❑ No ��. SO�. C.CJ Yes ❑ No