HomeMy WebLinkAboutMortgage_Arbuthnot.f `°'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Cou Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
State Fwm 43709 (R8l 2-07)
�1 r Presrnbed by DepaMreni of Local Govemmmt Finance
�NSrnucnoNS: A���� �`��g
To be filed in person or by mad with the CountyAuditor o/ the county where the properfy is located. �"
Fding Dafes: 1) Real PropeAy: Dunng the 12 months befae June 11 oI the year tlre deduction is to be eRec6ve. � ��
2J Mobile Homes assessed under IC Gf. t-7: BeMeen January 15 and Malch 2 of the year fhe deductiar is fo e e�
See reverse side for addi6onal insWcSons a� qualifications. GIBSON COUNTY AUDITOR
Appl' er or mMrad 6uyer - see 2' re rse sid )
T i�G Key nujnber / �egal�es �P�� rt� C.iSI�. Q3� —� Remrtl number � Pa � b�
O %/ V Q
A� rdhie ot real popaty rdi 1. wreN y�r MMgage / Corrtrad indebtedness tinptid as of March 1. Is Ihe appliqnt Ihe sde legal « equilade mvneR
wnenlyear / /^ �
(/J �Yes ❑No
his I her exaq
on recatl is diHerent Ihan Ihffi M applicant, indiote below:
af mortgagee or conUaU sNler
Address of mo�igagee or mnirad seller
Name of assgnee w dher owner
andshee4 dty, state, andZlPCntle)
wwr�
licant own popertY in a�ry otha I It yes. what m�mly/
Indana? _ ^ " �
❑ Y� '
DetlwAion appmved in Ihe a�
0
o,-.�„���-.��o �:.�a7�
Card NO . .. ..... ......00. —
m� � ���� OC.i�. —
wiih mmeone other Ihan spouu,
Ta�dng DisUicl7
20
Is U�e propeM in question:
❑ Real PfopeAy ❑ Mobile Home (IC E7.1-7)
Mas �his tleduGion bern
lor arrent yeaR
:i�
,estetl on property
❑ Yes ❑ No
Daie (mmlh, tlay, yea�
Zo
I/ We certify under the penalty of perjury that the above and fwegoing infwmaCOn is true and mrrecl and that the appli�ants was / were a resident of
Indiana and owner oT the aforementioned property on March 7, 20
��ahue (ovmers fiAl name) ,1 � / •� � . 1
Date (monih, day, yea�
plicannl (number and sbeet cdy/, /s/(ate. an0 ZAIP mde)
,�X�u�z- (X � � l'
�ea,ied a�y « nv ic �i i-i z-.o�
Pddress of aulira¢etl pelsan (numbe� aM sVeel aty, sfale, and LP oode)
�� 6 6
Dale (monfh. day, yea�