HomeMy WebLinkAboutMortgage_Messick� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun 7ownship Year
: ! State Form 437W (RS / 4-03) ' � �
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Presai�ed D rt t 1 L I Go F'
� �y epa men o oca vemment �nance
INSTRUCTIONS: FEB Q $il��k
To be filed in person or by mail with the County Auditor ol the county where the property is located. .
Filing Dates: 1) Real Property: Dunng the 12 months 6efore May 11 0l the year the deduction is to be e��{}'e. /�
2) Mobile Homes assessed under IC 6-1.1-7: Between January 75 and Maich 2 of the yearpiCf/€�ciCtl�to be e((ective.
See reverse side /or additional instructions and qualifications. GIBSON COUNTY AUDITOR
Taxing
Assessed value of real property as of
March 1, current year
on
Key
do�-61
Mortgage / Contrect inc
March 1, current year
� .�. —.
If no, what is his ! her exad share of interest?
If name � DraR�er N a . below:
0......4�. (olj,7 � _
�me o Card NO.
..................... %�
Addres:
Name of assignee or other owner or hoiae� �� �,,,,..�_.�
Address of assignee (number and street, city, state, ZIP code)
Does applicant own propeAy in any other If yes, what county?
county in Indiana?
Deduction approved in the amount
20
Signature
20
number �
8 J� � _� Page number �O ��
�
btedness unpaid as of Is the applicant the sole legal or equitable
�� �p,b� ownef? ❑ Yes ❑ No
l
owned with someone other than spouse, indicate with whom.
-LSL�O�-6G/. e��l�-lJO/
Is the property in question:
ZIP
What Taxing District?
COUNTY AUDITOR
20 0 20
1
County Auditor
❑ Real Property � O Mobile Home (IC 61.1
=, 5J0�
Has this dedudion been requested on
property for current yeart � Yes ❑ No
20
Date
�
We certify under lhe penalty of perjury that the above and foregoing information is true and corred and lhat the applicants was / were
esidenl of Indiana and owner of the aforementioned property on March 1, 20
Person authorized by duly executed Power of Attorney
or by IC 6-1.1-12-.07
Address of authorized person
____________________________________________