HomeMy WebLinkAboutMortgage_Collins (6)°^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
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S,�» P Presmbed by DaparUnent ollocal Go�emmerrt Finance
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INSTRUCT70NS:
To be filed in person or by mad wifh the Court(yAuditor o/ the courrty wfiere Ure pmpedy is bcated.
Fd'vig Dates: 1J Real PropeRy: During Ure 72 monMs be7ore June 71 of the year fhe deduction is to be eflective. NQ V Q 3 2 Q 08
2) Mo6de Homes assessed urMer lC 61.1-7: Behveen January 15 and March 2 0! the year the deduction is to 6e eBeGive.
See reverse side /ar additional ins6uctions arnd quali/'icafions.
Appl' rd eror bvyer-se ��e sda) GIBSON COUNTY hUDITOR
iariv, nicwin . Kav m.mbrs / leoal drsviolion / Rem�d manber Pege mlmbnl
� � � ���— U� � �U
rdue ot �eal papaty as of rdi 1. anerA ya3r MoA9a9e / Cor� cl intleWedness unpaid az of March 1.
airtentvear/ )� ,-.__ rf�
is his / her ezacl share of irtleresl?
1 If reme m record is EiBetent Uian thal
� Name of mortgagea or canUacl
� Atldress of mortgagee or mnUaC sdler
dher awner ar hdder of mort9a9e
� Address of asvgnee (rtum6er arrd streef,
Doas applinrd wm popertY 7n arry oiher
�� m ��a��,
❑Yes ❑ No
� Deduction approved in ihe arrrount of:
�
� SigraWre
0
dty. 3afe. aM LP oode)
�
❑ Yes ❑ No
than spouse. indicate wi�h wFam.
is Ihe property in questim:
❑ Real Prooertv ❑ Mobile Harie (IC E7.
D rawer NO.. �. �•'• •� A ,Y �
If yes, whal coun ludian been reques�ed on poperty
Card NO . ..................... �n
❑ Yes ❑ No
20 20 20 20 20
Caimy
1/ We certify under the penally of perjury tlut the above and (oregoing infortnation is true and coRed and that the applicanLS was / were a resident of
Indiana and owner of the afwementioned property on March 1, 20
Y�dtye (owne(s NI name) .� Date (month. daY. Y��1
Person
of appi�aM (number end streeL M�: s(a�e.
Apwney or by
person (nwnberaMS4eef. cdy, slate,
Dale (manlh, day. yea�