HomeMy WebLinkAboutMortgage_Wright (12)^�� STATEMENT OF MORTGAGE OR
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• FOR DEDUCTION FROM ASSES�
� State Fortn 47709 (R71 / 6-09)
t' ,,,, � Presmbed M DePartment o1 LoW Goremment Fuanc�
wsrnucnoNS: NOV 9 2012
To 6e filed in person w 6y ma�7 wrth fhe CounlyAudRol or Counry Recarde� o/ fhe ceuo(y property is located.
FAirg Dates: 1) Real Pmperty: Must file dunng fhe year (or which Ihe deducfion is�btig�it.
2) Mo6de /Manulactured Homes rrot assessed as Real Pluperty Must file dunn e !ve (12) months
beforeMarch3fofeachyearthededucvonissought GIBSONCOUNTYAUDITOR
See reversa side for additional instructions arM qualihcations.
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at k ttis / her eratl sl�are ot intereY!
on remd'a CAterenl Uun ihat of a7G��t hditate below.
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Address of nvtgagee w mntraG seAer �number and sfree; cily, sbM, aM LP mde)
Name of assignee w other ownu ar halder of mortgage
ALtlmss of auignee (nvmberand stree4 �: �e, aM LP cade)
Does ePptifant wm properry in any othu tt yes. what muntyt
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20
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artwn� or.
20 20 20
File Mark
Pom, mea wim:
� CountyAUditor
� Counry Recorder
� �jo // Remrd numDer Page numbrl
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i es af Mortgage / ContrarY uWebtedness unpaid as d Is Ihe app0ont the sale
tlate of aPPtication legal a eWitaNe avmeYl
❑ Yes ❑ No
M owned with someone other ihan spouse, indNste with wiwm
Is ttie woP�' in Question: nrmuelly nssesed
❑ � Anaertr ❑ ami�Ma� . . .
I/ We certify u�er ihe penalry oT perjury that Ne above and foregoing infortnation is true
owner I contract buyer of Ne atom�nentioned property on date appiicadon is filed.
�F resiCrv�t ed�r� o-f appaant (number and stree4 aN, �,te�.J�end LP cade)
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Pr�son authw�d by duty erewted Fbwer of Aticmey ar by IC G7.1-t2�.7
Address of authuaM Derson (numDer arid sbceC �: ��a. aM LP mtle)
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Date (llqnfi. tlaY. Ye
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