HomeMy WebLinkAboutMortgage_Carter.r'*�* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
saca Form ea�os (Re i zo��
�' � rresrntea dr �nmern w �anl Go.emmem Firenca
a
wsrnucnoNS:
To be filed in person or by mad wrth the ComrtyAuditor W the cour+ty where the p/ope�fy is bcated. A PR
Fding Dates: i) Real Roperty: Dunng Ure 12 months 6e/ore June 17 W the }rear the deduc6on is to be eRective. 2, 2 2009
2) Mo6ile Homes assessed (mder IC 61.1 •7: Befxeen January 15 errd March 2 of the yrear fhe deduction is to be eRactive.
Sae reverse side /or add'Aional insWctions a� quelificatrons. .�,
ns�,an,eorre�amv asdn�ara,,.a,re�nr�r �+«�8
airtei
I�what is his / her exeG share af iMeresl?
If reme m recad is diRere�d Nan Nal of applicar0. i�nte belo+i:
Name of rtartgagea or oonUacl seller
Addr�ss of moAgagce or mnuad seller (number antl s6ee d s
Name af atignee a olf� awner or tw�der d mutgage
Address of assignee (ramber aM sfreef, d1y. 9ete. aM LP mde)
Does applicaM am poperty in airy oVier
courrty in Ind'a�7
❑Yes ❑ No
Oeduction approved'm lhe
�
Sigreture
20
FS:'J
_ OoO. ���-Goy
xmact indebledness unoad az of March 1
GIBSON
I �oy I a3L/y
Is Ihe appfifanl lhe sale legal w equitable wvneY/
❑ Yes ❑ No
wi�h sameone other Uian spoux. mdcale with whom.
(�/'(� 1.1-7)
`� UI':l\\'CI' �j�.�:^..'.1..........
arMLPcodaJ 39q �
�QI'd NO . ...............�..
� �q3,ar7. -- —
If yes, what countyt Whal Ta�ang Dstnc
COUNTYAUDROR
20 _ 2b _ 20
Caunry
Has this detluclion been requested on properry
(or wrtent yea(?
❑Yes ❑No
20_ � 20_
Y��
I/ We certify under the penalty oi perjury ihat Me above and foregoing infomiation is true and cortect and that tlre apptipnts was / were a residenl of
IMiana and owner of ihe aTOrementioned propeAy on March 1, 20
I�Aiowne/sMlneme) � � n . Oale(monfh.daY.Y��
n� address
� ��
ezeaited Pw�er aF Attdney ar by IC
Addr�s of aullo¢ed persm
aiM LP oode) � ' /
��.��� Y
Dale (rt+mlh, day, yea�
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