Homestead_Hirsch (2) Ded,a'at is hereby loaned to the data this appticatm is signed. (date of signature). I(m).
❑ Own. ❑ Am(are)buying under recorded=tract
❑ Am(am)waded to oca,py as a tenant-stockholder of a cooperative housing corporation
❑ Have a be,efider merest ti b,e that a the right to occupy the property under the tams of a qualified personal residence cost
❑ Am(are)the tilaehdder,partner,or member of the entity that writs the property.
•~" K- '4ict T'S,'r«s'1W .1?f-rttr CIA—e r.FETSIYFOROl y. , n 1 T
clit•~t�(��) tole nnb e/Conn{ 7(rs�h ( )
Redacts thee Mna anat tLmtaa Prat nsrea Rd.
'4~ ._re.47..S...Y.ka2:errrriCCaL1 rFi.tP1;1OPERi4..0E5G F1?ii014, A'.tri eriati i 31fe::
Cato To o tnep egad(aft,bon tWil.. -
Red nate lspl aticeeten (Is re pigny In padac
❑Rod pm•s/ ❑Ananh attaaaed COOP Ime(IC F1.1-n
a q poet,Si to ratlaar than ave beam espy as(I)me ea made/was tat memo Is ue to amen scan chats ts tee ant maim
et ea moldy Lagoa o ponce on
_, 9 - Oq- . Do- »)- (8e-OaS . .
.+aGSptdi LFraOFERrY.OWNED,EtS_EWHERE eY.Ci..i:.ragir ,,
Su*Oast and roerttp It dakaet'taffy S,arrested?
❑ Yes ❑NO
I hereby tatty the seas simertaes are true correct.mid Complete. /
Alba el a ea(ea pwarr.ate daub as Wads) ` - ! ___ _ .-
.. ... _. �e-...
e- /0E-GOO 5. err. ,.P.t&ia C.
h">is ASSES.ARUSE prt:rY17:7-- GSSESS DtlA W r`tzim9uwi D IatUE ,t t O a RE510EN11?l`S7Re71
Land cot eme•m_p ono Mom . 1t) 't' +. ih�e t"T"'%
saran ang rolmpQL bar rotarmm i!=Y Y-.' :h'A? L '.'i,..
Other War P) LCMee-'J "Jiza
Teal sere(ftaefpts War 2) P) .
a ates'ttttrosee to a nafi N)
T'* - t .n
"
azimuth,sewed mobiel
aaottecmea lee Csnpe 457 Cel OSr`,
a� - Y.;t c ONalnprotemela • le) ;' y,+ Y2 :tis
Total Enlvwprooraz=•thrown EMI t) (n
Toaltahn pm t Orin Saes (9)
I hereby Canary the above Is true.Cermet Stager SNaeap D6 rbd(morn ax nee)
1 and complete.
were aa,-Semen et ALate Da abet(toes d' scat
Gn.. _ �: aar=TOand:cEOUCoiiarrisic
I 20_pry 20_ Leta of 00%d the aasueO vain d to homasiad or$4.5.0 CO.
I Ndisa = S aaet I Amway do its tltle dittoes
hone oatis mot IC 6-1.1-12 a 'ai nioa
reaps l3M t
MIuamamsida of ter assessed•mm ame=nmeMror enc ted creel P'oDelynnal
it mama herb tlSne=bib frasar®rc/rIIaGhon.
saasaarevmt Il Rw �:3a`7?
@Sn@Ullat OS-Ccuntyt 9t fs- Oh"•ieters
O.p.,d2
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�
NOV k292017
GIBSON COUNTY AUDITOR