HomeMy WebLinkAboutMortgage_Hoskins.•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
z,..: � FOR DEDUCTION FROM ASSESSED VALUATION ��
Slale Fwm a3709 (R8/ 207)
°�; •� Presvibed by Oepanment of Local Govemmenl Finance
� File Mark
�rvsrRUCnoNS: MAR 1 6 2009
To be lled in person or by mail with the CounfyAuditor o! fhe county where the property is bcated. -
Fding Dafes: 7) Real Property: Dunng the 72 monfhs be/ore June 71 o/fhe year the deduction is to be e/fective.
2) Mobile Hames assessed under IC E1.7-7: Befween January 75 and Maroh 2 0/ the year the deducSrn is`-{�p��e eRec�e,i
See reverse side !w addi6onal instructions arrd qualificafions. ���� �Sa?
n 1 � GIBSON t�ni uar ��
I MW�canl (owner dr ronL�116uYe� :{g� �€�nGh� on reverse sae) V itHoi'ii7��
Pssessed value of real
Key number / Iegal d aiption Recard number Page number
I 8 /a�- or.�. � -�7 b� �
d March 1, ament year MMgage / cl intlebtedness unpaid as oi March 1, Is the app6mnt Ihe sde legal a equitaMe owneR
�rt�` ��� � ❑ Yes
❑ No
i—., what is �a / �et exad share of iMeresl?
li name on recwd is EitFerent �han Ihat of applicant, indirate below:
Name of mortgagee or cont2cl seller `
�
Address of mortgagce w mnUact seller (number aiM sireet.
owrrer w hdtler af mortgage
ier arM sFreel, city, sfate. aM ZIP ooa
Does applicant own property in eny dher
cowriy in Indana?
❑Yes ❑ No
DeducUOn
��,�,.,�
� ���1��
someone aner tnan spouu, Intllcate witn wrom.
Is the aopeM in Questlon:
❑ Reai Property ❑ Mobile Hare pC 61.1-7)
alW
� � �./ ����J
,A�
D�_ 30�2�
2b 20
as
20
�,� o� c�v
❑ Yes ❑ No
20
e ry dilnr Courtty I Date manfh. dey y� �^
/ 7
I! We certify u der ihe p n Iry of perjury t the above and foregoing infwmaUOn is W e and corteU and Nat the applicants was / were a resident of
Indiana and owner of th wementloned roperty on March i, 20
wre (oa.me/s lull name) // � � ` Da1e (mm(h. oaY•Y��
sLeef. cdY. sWfe.and�ZlP cnde)
Person authaizetl by tluty e:eculed Power W P t�6
AOtlress of aulhor¢ed persm (number aiM sLeef,
or by IC
and
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