HomeMy WebLinkAboutMortgage_Owen^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun'
_,_ _ FOR DEDUCTION FROM ASSESSED VALUATION
� SUte Fwm 93709 (R71 / 6O9)
�` f presoibetl by �epartment of Lod Govemment Fna�e
1u.
(NSTRUCT70NS:
To be filed in persan or by mail with the CountyAutlitor or Counry Recorder of the county where the property is located.
Fifing Dates: 1) Real Property: Must fi!e during the yearlor which the deduction is sought.
2) Mo6de /Manufactured Homes rrof assessed as Real P�perty Must file during fhe fweNe (12) months
6etore March 31 of each year the deduction is snught.
See 2verse side for adtlilional instructions and quelifications.
'\J`/Vl/�W
A.sesed vaAre d real WoPen1' az N
h1a�U 1. ar�mt Year
aU
tt no, what 5 his I her e�a share o
If name m 2mN is dMerent Nan tl
�"�"� 01-DOO. D ?Y
/ Contr�aectgirdebtedness unVaid az of Abrt�
��I lrll(i.7. tlate
below.
Name of moriga9ee or contract seller /� �/S �('�
� C �i J
AEdress af rtwtgagee or antracl se0er (nwMer and sRae4 �fi: s+a�, aM LP code)
Name o1 ass'gnee w other owner or twlder of mortgage
Address o( assi9nee (number aM sveeG rit}: state, antl LP catle)
Does applitant ovm praperty in any o�her IF yes, what munp?
counry in IMana? ❑ No
❑ Yes
Whal Ta�d�g Dislrict?
' [.6tAWryAUditnr
_�County Remrder
GIBSON COUNTY AUDITOR
� ^ Rem � n� Page numba
,i
-�
:onfra(Y indebtedness unpaid a o1 Ls the applircant the sole
ztion legal w eQUiraHe mmer!
❑ Yes ❑ No
: othar than spouse, iMicate with whom
Is �he ProPenY m Vuestion: MnuaM Asessed
❑ Real Property ❑lvmualiy�
htoh�e Fim�e (IC 61.1-i
Has �his dedu9ion Oeen re9uested on pmperty
kr artent yea(.� 1-1 .,_ _ 1-'1 �
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