HomeMy WebLinkAboutMortgage_Gamblin�
d�„°;M1. � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
a.__ : FOR DEDUCTION FROM ASSESSED VALUATION
S• �' S�ate Fortn 43709 (R11 / 6-09)
—' PrescnOetl by OeOanment a local Government Finance
INSTRUCTlONS:
File
To 6e filed in person or 6y mail. �'aT�+ ��-�/
Filing Da(es: 7) Real P�operty: Musf 6e complefed and dafed in fhe calendar yea� for which the deduction is soughf. ��
Musl be filed with the CountyAuditor or Counfy Recorder ol fhe county where fhe property is located ���j � YQ9/1r{�unty Auditor
on or be/ore January 5 0l (he immediatety succeeding calendar year. `'
� �ounry Recorder
2) Mobile / Manulacfined Homes not assessed as Real Pmperty: Musf file wi[h the County Auditor o/ fhe
counry where (he pmperry is located dudng fhe fweNe (72) months before March 37 0( each year fhe C��'
deducfion is sought.
See 2verse side /wadditional insfmcfions and qualificalions. GIBSON COUNTV A(��j�?vrt
�MoGcantfowneroroenfradbuver-seeresfictmnsonreversesitlel -
Linda J. Gamblin
Taung Disirict Key num�er / legal description
Oakland City 26-14-78-401-001232-007 Lot 11 Hargrove's Add to Oakland
Assessed value d real prope .ry as of Mortgage / ConVact inCebtetlness unpaid as of Mortga9e I ConVaG i`Webtedness unpaid as of Is Ne appliwnt ihe sde
Mamh 1, curzent year March 1, curzent year Eate ol application legal or equitaWe ovmell
'540,500.00 S9,000.00 529,500.00 ❑/ Yes ❑ No
i no. what is his I her esact share of interest? If owned vn;h swneone oUer than spouse, indicate wilh whom
tl name on remrtl is tliFerent t�an iha� a( applicant, indicale Oelow:
Name of moM1ga9ee or Contract seller
Heritage Federal Credit Union
Address of mortgagee or mntract seller (numbei arM slreet, ury, sfa(e, ano
5388 Old SR 66, Newburgh, IN 47630
Name of assignee or oNer owner
Address al assi9nee (number arM sireet.
any
mwtgage
sta;a.
I5 the property in queslion: MnuallyASSesseC
❑� Real Property ❑ MnuallyASSessed
lor wrtenl year!
on property
COUNTY AUDITOR
Deduction apprmeC in l�e amoum o@
20 _ 20 20 _ 20 _ 20 _ 20 20 _
Sign Nre o( • ryAuEi:or Coun Date (monN, day, year)
pi-au-r�
I I We certify under the p alry of perju thai the above and foregoing infortnafion is true and wrtect and ihat the applicant is a resident of Indiana and
owner / wnVact buyer ot the aforementioned property on date application is filed.
Signa:ure (o fs � nam . Date (rtanN, day, year)
j. O1/12I2011
,-"W resiEenl address ol ap nt (numba� ana s1ree1. city, sfate, antl ZIP code)
175 N. Jackson SVeet, Oakland City, IN 47660
Person autFwrizeE by duty executed Power of Anomey or by IC 67.1-12-07 Date (monM, tlag year)
Aticress of au;horizeC person (number arM s'✓eet. ciry, sfate. antl ZIP ooCe)