HomeMy WebLinkAboutMortgage_McCarty (2)°'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
. FOR DEDUCTION FROM ASSESSED VALUATION
� ' Stale Fortn 43709 (R8l 2-07)
S,.,, � Presmbed by Department W Local Govemment Finance ���
File Mark
INSTRUCTIONS:
To be fiied in person or by mad wdh Me CountyAuditor o/ the county where the pmperfy is bcated.
Fding Dates: 1) Real Propeily: During the 72 months belore June 11 0l lhe year the deduction is to�e$i `�- 2��g
2) Mobile Homes assessed under IC 67.1-7: Behveen January 75 and March 2 0/ U'e year the deduction is to be eHecfive.
See reverse side /w addi6onal insWCtions and qualificafions. ��7^� ��
��'�`ri��
..�.�>�.
his
number /
that oi applicanl, intliple belar.
of mortgagee or conlract seller
GIBSON
.. ��J•�
�p uWebtedness unP� as M March 1.
Address of mortgagee or cmirad seller (numbu ar�d sfreel, aTy, stafe. and ZIP codej
Nartre of asvgnee or dl� awrret ot hdder of matqage
Address of asv9nee (mmrbe! aiM sfreet. tity. sfale. and ZIP co0e)
applicanl own properiy in any dher
y in Indiana?
❑Yes ❑No
appioved in llre amount of:
� •'��
20
counry?
COUNTY AUDITOR
� _
Counry
Reoortl
❑Yes ❑ No
someme
spouu, indicale with Mrom.
�tL��/ � .
� � "C �`-"" — �l
�Q� (1c,�on�
��, 00�.��
��(Q-35 q �
I/ We certiy under the penalry of perjury ihat ihe above and fwegoing inforrtiation is We and corteU and ihat ihe applinnts �ras / were a resident of �
Indiana and owner of the atwemenfioned property on March 1, 20
._ ..., i..�...e�� r.a �n,..vi � Date (monlh, daY, Yea�
i�denl adtlress of applicant
�
Pason aWror¢ed by duy ezeaA
AdCress af aulhor¢eA persan (ni
L_ C�
dty, sfate. aM
by IC 61.1-72-.07
and s4ee( aty, state,
Date (mmN, day, yea�