HomeMy WebLinkAboutMortgage_Garwood�.�•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTpEDNESS Townshi Year
�,, .; FOR DEDUCTION FROM ASSESSED VALUATION
Slate Form 43709 (RB / 2-07)
���y�� •� Prescnbed by Departmenl of Local Govemment Finance
DEC ff�� M�g
INSTRUCTIONS:
To be filed in person or by mail wfth fhe CountyAuditor ol the cowty where the propeRy is located. -
Fding Dates: 7J Real Property: Dunng Ihe 72 monfhs be(ore June 11 of fhe year the deducUon is to be eNecGve. /�`-�
2) Mobile Hwmes assessed under IC 6-7.1-7: Between January 15 and March 2 0/ fhe year the deduction i to liB�NEZfiI�
SeereversesidelwadditionalinstructionsarMquali�cations. GIBSONCOUNTY UDITOR
Apqicanl (owner w mnUa b er - see restnctiau on reve si )
Tapng Distrid Key num / legal desrnption Remrd numb Page number
� - - o�a-8o5 0� y o
Pssessetl ralue of real poperty as oF Marth 1, avrent y�r Mortgage / ConUad iMebtedriess unpaid as af March 1, Is �he apphmnt Ilw sde legal a equi�aMe o.me(7
wnenl yea� A � .
�t� ❑Yes ❑No
is his I her exaci share of iMerest?
on recwd is diRerent Ihan ihal ot applifant, indimte below:
mortgagee or conVact seller
rtartgagee a conVaa sNler (�mberaM straet
assignee w other owner or holder of mwigage
Adtlress of assgnee (number aiM sGeel. city, sfate. and ZIP ca
Does applicartl own property in any olher
courrty in Indiana7
❑ Yes � No
DeducUon ap0�'ed In ihe amount of:
20 (��i. � 20 � 20
,
stafe. a1y� ZlPCrode)
If owned with sortieme dher Ihan spouse. indcate wi�h whom.
Is Uie properry in question:
❑ Real Pmperty � Mobile Hwne
�p�t01 �O�f1l`%9`�'7�II �5
b � ��'•
o°� ...........:..
Dra��•cr \0.....
.....
.C:11�(1 �Q�' n��OL3. �
�0 (
0
CouMy
20
; dedudion been requested on property
ant yeaR
❑Yes ❑ No
20 _ � 20
I/ We certify under Ne penalry of perjury that the above and fwegoing infortnaUOn is true and correct and tliat the applicants was I were a resident o(
Indiana and owner oi the aforementioned property on March 1, 20 �
SignaWre w e/s lull name) n A� Date (monN, day, yea^
by tluly exewted Power
and sfreet�. c�'i,f(y.. stafe. aM ZIP mde)
B�� a.�I �
ot Altorney w by IC 61.1-72-.07
Atltlress of authoraed person (numbereM sVeet dty. sfafe, arW ZIP tode)
Oate (monN, Eay,