HomeMy WebLinkAboutMortgage_Reneer (2)"'� STATEMENT OP MORTGAGE OR CONTRACT INDEBTEDNESS o o s ip vear
_ • FOR DEDUCTION FROM ASSESSED VALUATION
' � • State Fwm 43709 (R71 ! 6-09) .
�' ,«. I presrnbed by DePe�enl o( Laal Govemment F�nce
�NSrnucnoNS: DEC 1 F' ark
To be hled in person w by mad with the CowryAWitor or Counry Recorder ol fhe co�nty where the properfy is bcat F� fl� �:
FAirg Dates: 1) Real Property: Must (�le dumg the year lor which the deduction is soughL ���• Counry AWitor
2J Mobde / Manu(actured Homes lrot assessed as Real Property: Must file d'uing the hveNe (12) monfhs
befwe March 31 of each year the deduction is soughL ounty Recorder
GIBSON CO UDITOR
See reverse side for additianal instructinns and qualificatlons.
Appfaapl (owner w contrarl buyer :see reshiUions m reverse�y(deJ � f� � �
m
ro. what is his / hw euG share ot
If name m recortl is QrtFerent t7w� ihat o/ appfrant m0'wate Oelow:
Name o/ moR4a9ee a mntrati
Address o( mortgagee or
w othrs ovmer or hdder of mor[gage
�:n
F13
(nu � streaL �e,� L%O e)
r�
-003.308-� � �
If avmed wi�
3a Ae
�
a� ewi�bie aw�,rYl
Yes U No
�Is ihpe properry in ques�an: MnuaM AssesuV
`�'' . _eal PfoPeNY ❑ Nmualfy ASSessed
e�,.�,ae u,...,e nr a
Dces appliont rnm properry in eny aNer If yes. wha[ count7/1 VfAat Tadng Oistrict7 Has Nis deduction Deen requesteG on p�opelty I
munry u� Ind'ana? ❑ Yes ❑ No � tor aurent ymaR � Yes ❑ No