HomeMy WebLinkAboutMortgage_Ingram.+°"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
� � FOR DEDUCTION FROM ASSESSED VALUATION �
� ' S1ale Form 43709 (R8 / 2-07)
�' ww � R'esaibe0 bY Departmenl W Local Govemmenl Finance
INSTRUCTIONS: �U�e �a�` 2008
To be filed in person or by mad wrth the CountyAuditor of the courtty where the pmpeRy is located.
Fding Dates: 1) Real Property: Dunng the 12 months be%re June 11 0/ the year the deduction is to be eRec6ve.
2) Mobi(e Homes assessed under IC 6-7.1-7: Behveen January 15 and March 2 of the year the deductiar is fo b ��
See reverse side /a addifional instruc(ions a� qualifications. ^
� � GIBSON COUNTY AUDITOR
of real popeM1y
r"�"�d�s on ie sae) �
y number I legal de�ai 'on
� �
i 1. ament ymr Moltqage / l
is his I her exad share of interest7
If reme on record
morigagee or conUact
Adtlress of mortgagee or mn�rad seller (numbu aiM sheef,
Name of assignee or ather owner or hdder of ma�gage'
Address of asggriee (nurtrbei and slreel,
Does applicant own praperty in any olner
counry in Indiana?
❑ Yes ❑ No
Deduction approved in ihe amount of:
2b
SigreWre of
�
�Z
as o/ March 1,
wi�h someme ather lhan spouse, intlicate with whom.
` Cc. i ���A 2
�� � O 2sE l-�
- 1�(�'�M
- D� ds95
20 — � 20
Caunry
20
w equitade wmeR
❑ Yes ❑ No
Is the praperty in question:
❑ Real Pmperty ❑ Mobile Hwne QC Gt.
ias lhis dedudion been requested on property
�w artenl yeaR
❑ Yes ❑ No
20
20
I I We certify under the penalty of perjury ihat Uie above and foregoing infomiation is We and corred and that the applicants was / were a residenl of
Indiana and owrler oj the�eme9lieney7 property on March 1, 20
Altonrey d by IC 67.7-12-_07
pasan (numberarMSGee4 cdy. sfafe,
Date (month, day, yea�
Dale (month, Oay yea�
i "'