HomeMy WebLinkAboutMortgage_Tincher"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
:.,_° .
• FOR DEDUCTION FROM ASSESSED VALUATION
State Fortn 43709 (R71 ! 6-09)
S ! Presaibe0 by DeparlmeM of Local GorernmeM Frexe
�STRUCTIONS:
be filed in person w by mail with fhe CountyAuditor or Counry Recorder o/ the counry whe`e fhe property is located.
Filirg Dates: 1) Real Property: Must file dunng fhe year for which tlie deduction is mught.
2) Mo6de / Manufactured Homes rrot assessed as Real Pmperty: Must file danng the hveMe (12) months
before March 31 of each year fhe deduction is sought.
See reverse side /or additional insWClions and qualificafrons.
V
Year
GtlUnty Auditnr
�unry Recorder
wnerorcontrae uyer-seerewrbonsmrererse e) � GIBSON COUNTY AUDITOR
Ta ' �' ' Key rniimbei / kgal desaiplion Reco�d rwmber Page rum�6a
D aG-1`I- -io�-oop. �oy-oo7 53d.6
AssesuA relue d real d � gage / Contrac[ i`drbtetlr�s unpaid as d Mortgage / Contra1Y mdebtetlnrss �mVa"vtl as of Is IAe sPP�t tlfe sde
Mardi t. aarent y�r mh 1. arte�rt year tlate of appGption legal or eQUita6le oxnM
�� n0� ❑Yes ❑No
If'wrie m remd is d�Remn[ Nan Nat of aPP�^C u�Aifa[e 6ebvr
ot mort9a9ee or mn / e� "V'
s o( mortgapee w contraq seller (number aM streef, ciry, state,
Nart�e
Dces apWicarH ow
munry in IMana?
ciry, smte. antl ZJp catle) �
/✓
I( yes. what munql?
❑ No
- oe�u�n avwovea m me amwm or.
20 20 20
Sig�wre d Camh Audiror
I/ We certify uMer ihe penalry of pe ry thal the
owner I contrad buyer a( the afaemenlioned pro
` ' Slgrewre xneTS �
X /
FW "'/ 1/ ppp,GCart (iwmbe an/tl sfreae4 �Y,/�
�.�7 Ll l C�Aa1`r�/ S7. .///J t'
20
someo�re otner Inan spouse. Ina�te wM wnom
Is the property in puestion: Mm�ally Assesud
�Real PfoPertY ❑ AtmUallyAssessed
�
I ��, RoY ►�' �� �,
What Tarirg D'avic
worroa � 1 �� 3 0� lp
20
I Caunry I Date (month. OaY,1'��
/
nd foregoing infortnalim is true and cortecl ard ihat the applican[ is a resident of IMiana aM
date applicatlon is filed.
Psson aNtqraed by dWy eseated Power OfAtlomeY a�' IC 61.1-12-0.7 �• • I �e�e (/nwiU. tlaY Y'��
Pdtlress of aulha'vEd person (number and sbeet dry, state. an0 ZIP ootle) .