HomeMy WebLinkAboutMortgage_HornbyI� ,/ �. pol- oo3S�'_oo � ��
�fy•*�R4 STATEMENT OF MORTGAGE OR. CONTRACT Filin fee $1.00
-� a/ _F` e
(_ ,�_ y INDEBTEDNESS FOR DEDUCTION FROM ASSESSED County Township Year
c��' �` '' VALUATION State Form 43709 (1-90) Prescribed by the
�-' �'• ,s�• ` State Board of Tax Commissioners Gibson Barton � 1991
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�G-a� ,3�-�6G�G00.3S�-66�. _ File Mark
�ructions for filing: ' " ' �
To be filed in person or by mail with the County Auditor of the county where the
property is located during the 12 months before May 11 of the year the deduction
fc tn ho offortivo Coo rovorco fnr arirlitinnal inctrnrtinnc anri niialifiratinnc
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' . - • � MAY 0 61991 ��On o
Applicant (Owner or contract buyer - see restrictions on reverse) /� �, �h�
(KiYV1�1tJ
Harold Hornb and Lois Hornb �
Taxing District �' Key Number/Legal Description Record No. mt dr. 6/
9•
Barton NZ NE a NE; 32-3-8 Page No.
Assessed value of real property as Mortgage/Contract Indebtedness unpaid Is.the applicant the sole legal or
of March 1, current year as of March 1, current year. equitable owner? �.I yes ❑ no
�..�i..ox�:�„ � .55 �N�, z9 � . .
If no, what is his/her exact share or interest? If owned with someone other than spouse,
indicate with whom.
If name on record is different than that of applicant, indicate below: -y
v
Name of mortgagee or contract seller ..
-�;_L nville�National Bank
dress of mortgagee or contract seller
P.O. Box 126, Lynnville, Indiana 47619
Name of Assignee qr other owner or holder of Mortgage. .
Harold and Lois Hornby
Address of Assignee
R# 3 Oakland City, Zndiana 47660
Does applicant own real property If yes, what county? What Taxing District? Has this deduction been
in any other county in Indiana? requested on property for current
no year7 ❑ yes � no
COUNTY BOARD OF REVIEW ACTION
Deduction approved in the amount of:
19 19 � 19�-0.) 19_�J) 19�pbZ �Q���/, 19.��g,�
/-
I R �5 -/y-bl ��>-a2
Signature Sec etary of Board of Review Date �� �� a� �$
0 9 � i � d ``�f /' �C �
I/We certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
cants was/were a resident of Indiana and owner of the aforementioned property on March 1, 19 91
�'�na ure (owners full name) Person authorized by duly executed Power of Attorney or
� by IC 6-1.1-12-.07).
Full Resident Address of A I cant Address of Authorized Person
R8 3, Oakland City, IN 47660 (D-��- 9�