HomeMy WebLinkAboutMortgage_Strickland (7).� °°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
s�a Fo� aa�os �r� i z-0�
t' w,. � Presa�bed by Department d Local Govemmenl Firence
Fil
INSTRUC710NS:
To be filed in persnn or by mad with the CountyAuditor o/ the courrty where fhe property is located. � q p
Fd'v/g Dates: 1 J Real Property: Dunng the 12 months before Jurte 11 0/ the year the deduction is to be eflettive. � A N fi � D 20�9
2) Mo6ile Homes assessed unde! !C 61.1-7: Between January 15 and March 2 01 the year tf�e deduction is to be eflective.
See ieverse side /or additiortal ins6vctions and quafifications. �y� � A �
T ' 'sUi�` - - ' Key
A d ralue ot real propaty as of MaRh
If ro, what is his / het exact share af irtlere
If fame on recad is difiereN than Ihal oF a��,
Name of nwt�ga9e� or conUac� seller �
�
morteay� a mnuaa s��. {��.�d �rroec dry, sw�a.
Name of assignee a dher o.vner w Mlder of mortgage
Address of assg�e (num6er and s6eet,
Daes applicanl own property in arry oNer
counTy in Ind'ura7
❑ Yes ❑ No
Deduction appmved in Ne amount af:
Pi�]
Sigreture of County Audilnr
�
as
GIBSON
� (�VO�?I � �"lU.3
Is the apptipnt Ihe sde legal w equitade wmell
❑Yes �No
If owried wiTh someone dher Ihan spouse.
ZIP mde)
If yes, what cauMy? WF�at Ta�d�g Disiric
COUNTY AUDITOR
�
20 20 20
Caunry
Is Iha property in queslion:
❑ Real PropeAy � Mobile Home (IC G7.1-7)
Has Uds deduclion 6een requesled on property
r« wR�,i �n
❑ Yes ❑ No
20
20
certify under lhe penalty of perjury that ihe above and fwegoing infomia0on is true and corted and fhat the appiidnts was I were a resident of
a and owner of ihe afwementioned property on March 1, 2b
(owne/n�name) IZd—J �f ll 0 Dale Imanfh. daY. Y��)
Fu0 residerd address o7 applicant (nwnbe� an0 sheel. rdy, state, an0 P, mtle �
6 70 6� � o� � 6 aK a,+ C;�'�, , 2�:,. `{7 �6 0
Pe�mn auliwr¢ed by duty exew�ed Povra of Atluney or by IC 61.1-12-.07
Address af auUnr¢e0 prlson (num6e� and streeG rd}; sfafe. antl LP mde)
oa�e �monm. aar. re�n