HomeMy WebLinkAboutMortgage_whitler"'na STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
.. State Fortn 43709 (Rt t/ 6-09)
�' Pfesaibed Dy DePartmenl of Local Gwemrtrent Fuiance
w.
fiC
wsraucnoNS:
To 6e fded in person w by mai7 with the CounryAuditw or Counry Recorder of the counry whe�e the pmperty is located. � fl� ��
Filirg Dates: 7) Real Property Must file dunng Ne year (or which the deduction is soughG 1 Counry Auditor
2J Mo6ile / Manufactured Homes rrot assessed as Real Property. Muu file dunrg the hvelve (72) mor��R 1
befo,e March 37 0l each year the deduction is sougryt. Cou^b R�m�der
See �everse side lor edditional inshucfions and qualifications.
AppGnm (owrrer ar conba� buye�- see restxlipns on reverse side)
�. ( d� L� ' h�Fl GIBSON COUNTY AUDITOR
T'ng �istrict Key number / legal desviption R¢rnrd umbel Page nu
3�(v-18-3�-3oo-ooa. o�4-oay
raM1e d real yoputy as ot Mwtpage / Contraci intlebtetl�ress u�Pa� as of Mongage / Contract iMebtedness w�Gaid as d Is IAe e7G�ni Ne sole
MarM 1. armnt year March 7, anent year Eate o( apPG�ation lepal w equitaWe ameR
..2 Z C 1 � Yes ❑ No
If ro, what's his / her exact share of interest? � If owned with someane other U�an spouse, irid'�te wXh wMm
tt rame on recnN a dMerent than that o/ aPPlManl inEicate below Is IM property in Question: MnuaOy Asusud
� Real PloPenY ❑ %+M��Y ��
Name ot (mtgagee w
a contract seller (number and shee4 cdy, state,
�rt.l W7.��17-n3
w otnu owner ol ndaer ot mortgage
IALdress of assgnee (number aM street GN, state, aiW ZIP code) I
Dces eppiirant own praperry in any oNer If yes. what counryR VJhat Ta�dng Disvidl Has Uus Eeduction been requnsteE m propGty
counry in IMana? ❑ Yes ❑ No for artent yeaR ❑ Ye5 ❑ No