HomeMy WebLinkAboutMortgage_Junkman"^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS o s p Year
__.. = FOR DEDUCTION FROM ASSESSED VALUATION
• State Fartn a3709 (R71 / 6-09)
�,.,� j Presaibed by Deparimertl of Loml Govemrtrenl Finarce
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�NSrnucnoNS:
F� �aea w�m:
To be filed in person w by mail wifh the CountyAUdROr or Counry Recorder ol Ne county where the pmperty is located� � v
Rfig Dates: 1J Real Property Must file durrrg the year for whicA Ne deduction is sought !�����n
2) Mobile / Manufactured Homes rrot assessed as Real Property.� Must fiie dunng the hvelve (72) monfhs v
netoreMarch3lo/eacnyearthededucrionissouy . GIBSONC NI�Y�A�1
See reverse side fw zddilio instrtictions arM qualifications. ` _. t
App&ant (ow�e; mnvacf b see resvirlions m re �erse,Zde) n
Auditor
�- � -� � �� v ��
ssed vdue of real poperty az of Abngage / Conbact'udeb�etlness unpaitl az of Mortgage / Contract mdebtedrress unpaid as of Is Ne epp6rant the sole
i 1, arrera year March 1, arteM year dare N appGption legal w equRade owneR
� Yes ❑ No
what is his / her exatl share o( intemi? If oxmed wiih someorre dher tlan spaise, irdpate with vAfom
tl name m fecwd is dAtvent than that o! aPP��t indinte Eeb�r.
Name of mortpappe yr mnVact seller
mortgage
(num0er ered atree4 �Y. �le. and Z/P code)
Dces epplimm own property in any oNer I IF yrs. what counry?
munry in Indiana? ❑ Y�
❑ No
COU
••_•...-•,_, +...,�.�.+d In tlre artwnt of.
�,-1,����-.io....aG4�..... — 2o
Is Ihe property in puestiwi: Mnue�y Pssessed
�$eal Property ❑ MnuaOy Assessed
DistriGt? Has Na tle�
far current y
�� �
� P�W�'+b
❑ No
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C� 5 3 I ��ry ���,�. �Y ��
c���a ��o . ..................... 1 I
,
�{C'� OD ve and (oregoing in(ortnatlon is We and mrrect arW that the applicant is a resident of IrMiana arM
LY� y on da[e application is filed.
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resident aCtlt�s of
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statB, 3M ZIP c�tle)
w�c`..r�, LN y1�`�`�
oy ic �,.
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P.dtlress of autlmr'vEd person (num0er aiM sbeef. cily, sble. and ZIP cnde) . I �