HomeMy WebLinkAboutMortgage_WatkinsSTATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
' FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
�'+ ! State Fwm 43709 (RS / 4-03) � . .
�• . .
� Presaibe0 Dy Depertment ot Local Govemment Finance � �
INSTRUCTIONS: File Mark
To be filed in person or by mail with the CountyAuditor of the counry where the property is located. MAR � 9 2��6
Filing Dates: 1J Real Property: Durrng the 12 months be%re May 1 f of the year fhe deduction is to be e/lective.
2) Mobile Homes assessed under lC 6-1.1-7: Between January 15 and March 2 0/ the year the deduction is to 6e eNective.
See reverse side for additional ins[iuctions and qualifications. ��� '6 �
� GIBSON COUNTY AUDITOR
s�
Taxing
Assessed value of real property of
March 1, currenl year
If no, whal is his / her exact share of interesl?
If name on rewrd is different than that of
of mortgagee or contrad seller
Key nu�?legal description
'� �/�=aa i��a
number
number
MoRgage / Contrad indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, current year owne(? ❑ Yes ❑ No
%900'�
If owned with someone other lhan spouse, indicate with whom.
Address of moAgagee or contrad seller (number
Name of
0
Does appl
munry in I
20
Signature
indicate below:
or other owner or holder of mortgage
Dra���er: NO.Q�..r. �4jz.°�
� - - �•-��: ��
.t� ��
:., �_ r
Card NO. ...�":.-' .............
approved in the amount of:
20
city, state, ZIP
97
? � What Taxing Distrid?
..OUNTY AUDITOR
20 �_ 20 20
P
County Auditor
❑ Real
❑ Mobile Hame (IC 61.1-�
Has this dedudion been requested on
property for current yeaR� Yes❑ No
20
20
We ceAify under the penalty of peryury that ihe above and foregoing information is true and corred and that the applicants was / were
esident of Indiana and owner of the aforementioned property on March 1, 20
Person authorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07
authorized person