HomeMy WebLinkAboutMortgage_Ewing...�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS � Year
�, .. FOR DEDUCTION FROM ASSESSED VALUATION � �
s�ta F�„ aa�w (Ra r z-0��
�° - � Presaibed by Department o1 Local Govemment Finance
AN F�l�a�
INSTRUCTIONS:
To be filed in person or by mai! with the CountyAuditor ot fhe county whera the propeRy is located. �
Fi7ing Dates: 1J Real Property: During the 72 months before June 17 oJfhe yearthe deduc6on is to be eRective. �%Jaf„ C,{%
2) Mobile Homes assessed under IC 6-7. 7-7: 8efween January 15 and March 2 0/ the year the deducGbn is fo�be effecGve.
v
SeereversesidelaaddifionalinstructionsandqualiFcafions. GIBSON COUNTY AUDITOR
see re
�
Key
ralue of 2al property as af Marth
ro, whal is �15 / het enaG
on reverse�side)
! legal desaiptbn
_r, -03-�o a-co 1.4 ..00 J _
t year Mortgage / ConVaa indeWedness unpaid as of March 1,
If rume m recad is di`erent than ihal of applicant, indipte below:
Name of mortgagee or
Address of rtartgagae w
sYreef. dty, stete.
of assignee (number entl s6eet, city, slate, and ZIP code)
Does epplicant own propeny in eny ather
counry in Ind"una?
❑Yes ❑ No
appmved in the amount of:
� ���
If yae, wliet couny?
COUNTV
20 I 20
wmeone
Record number
Is
spouse, intlicate with whom.
in queslion:
�M ❑ Mobile Home
S9.!.`f
�0.0.8.-...�
�Q • .. .
Cl' % tr"�
p��\` �, q �(.•�%�'•••.
Cal � \� . .� !f �
20
i
❑ No
ated on property
�Yes ❑ No
20
inaWre oi Counry Autlitor \,{� 11, I Counry I �ate (monN. eaY•Y��
v1
I I We certify under the penalry of perjury tliat the above and fwegoing infwma6on is We antl correct and that the applifants was ! were a resident of
jndiana and owner of the aforementioned property on March 1, 20
n re (owne/shAl neme) . Data (month. day, yea�
'�u� � ����
II resi 1 address of applicant (num6er end stree(. cdy. s e, aM ZIP cqde) _ ,
autharized by duy
or
person (numberandsLee(aty.state.aMZlPaode)
�'_� �k-ll�l�l7
Date (monfh. daY• 1'ee�
�`� ' __ ' .� . _