HomeMy WebLinkAboutMortgage_Stoffel (2).e °'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
Slate Farm 43709 (R8/ 2-07)
S f Presmbed by Oepartment oi Local Govemme,d Firmnce
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ile
INSTRUCT70NS: "
To be filed in person o� by mad with Me CountyAuditor W the county whera fhe p�operty is located.
Fding Dates: 7J Real Property: Dudng the 12 months be(we June 71 o7the year the deduction is fo be elfeGive. �/, �y y�,(�(� �
2J Mobiie Homes assessed under IC 6-7J-7: Befween January 15 and March 2 o/the year tbe deductldYf7S fo'be l/ec�dG
See reverse side lw gdditional instructions and qualfications. , .
Assessetl rdue of real popaty as of Mardi 1. aarent year
interest?
m recwd is difierenl Uian Ihat of applicarq, indimte belaw:
a( mor�gagee or canhacl seller
� � 6' y'GU-c-c�/ •YJ��
/ Corrtrad'mdebtedness unpaid a5 of March 1,
Address of mo�igagee «mnirad seller (n�mber and sVeet. dly. stale, arM ZlPcnde)
Nartre
DeduGion
�
w holder of matga9e
'sUee(, city, slale, a�w
own property in any oUer
�a?
❑Yes ❑ No
�
ot
GIBSON COUNTY
someone dher than spouse, indtate wiN whom.
w ey�ataae wrt�en
❑ Yes ❑ No
is Ihe property in quasUon:
❑ Real Prouertv ❑ Mdxle Home
,P�,a, ��- a v 6y
yes. what counry? VJhal Ta:dng' C'' O r7' ii L LI't /�,1�.� '"
J �•
g,PEaoA A
AUDROR
20 _ � 20
�
20
W f ! � `^' Y County I Date (mI¢+ll�I�y, yearh /^�
/` ` V C� lJ
I/ We �fy un the penalry of pe ury that Uie above and foregoing infomiation is We and mrred and that the applicants was / were a resident of
Indiana and o of the afwemenh ed property on March i, 20 _ �
Dale (nwnlh. day, yea�
.�aderrtatldressof icaM(num6erandsfreef.ci(y.sfate.ardZlPmtle) - , f��� �
(/� %�i� 4 � ePj� �SU� �P�ii� Cc�b �� `'`
Pason auihorized by duy ezecuted Po.ver M Altomey or by IC F.7.1-12-.07
AOOress of aWlwr¢ed pelsan (number arrd stree{ �ily, slafe, aiM LP oode)