HomeMy WebLinkAboutMortgage_Williams (5)�ei 'n°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
t\s� FOR DEDUCTION FROM ASSESSED VALUATION Count Tov.�nship Year
`'` I S�ate Form 437W (R6 / SO6) �
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i� Presvibed by Depanmem of Local Govemment Finarxe ,
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INSTRUCTIONS: File Mark
To be filed in person or by mail with the County Auditor o( the county whe�e the property is located. � � N 0 7 Z�Q% .
Filing Dates: 7) Real Property: Dunng the 12 months befo2 June I1 of the year the deduction is to be eflective. �
2J Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of the yea�e dede� tan is to be etlective.
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See reverse srde for additional instructions and qualifications. �J
GIBSON COUNTY AUDITOR
Applicant (o r or contract 6uyer - see restrictions on ieverse side)
G,�li�uti.c'R- /7 • lN.C-�t-Qir+�-Q�
Taxing Disirid K y number! legal description - Record number
��a-/`i-l?-/UD- OD/.035_ �
� ��� Page number
�3-Q'a35-oo
Assessed value of real property as of Mortgage / Contract indebtedness unpaid as of Is the applicanl the sole legal or equitable
March 1, current year March 1, wrrenf year ownef? ❑ Yes ❑ No
( V / ��Q
Ii no, what is his / her exad share of interest? If owned with someone other lhan spouse, indicate with whom.
If name on record is diHerent than that of applicant, indicate below: Is the property in queslion:
of mortgagee or contract seller
Address of mortgagee or contrad seller (number an'd stieet, city, state, ZIP
of assignee or other owner or holder of mortgage
of assignee
Does appiicant own ��^^w - `� ,1_ 0 7
wuniy in Indiana? ���,�, �
o' p0,�,, .
�__ v""`"'"'�'� ,+
_dno-►- �:�
Dedudion approced ii 3 8(��
street, city, state, ZIP code)
2o U_►_ � 20 o b I 20
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Counly Auditor
1Nhat Taxing Distrid?
1UDITOR
20
❑ Real Property ❑ Mobile Home QC 61.
Has this deduction been requested on
property for wrrent yeaf? � Yes � No
3�]
Date
20
We certify under the penalty of perjury that the above and foregoing information is true and corred and that the applicants was / were
resideni 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
of authorized person