HomeMy WebLinkAboutMortgage_Kruse�.i -�n � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
� FOR DEDUCTION FROM ASSESSED VALUATION Count Township — Year
/ Sleb Fam 43T09 (R6 / 5-06) �
��� Rescibed by DepaNnenl of Lonl Gwemrtrent Finance
INSTRUCTIONS: S E F����� OU I
To 6e (iled rn person or by mail wifh the County Audito� of the county where the property is located.
Filing Dates: 1) Real PropeRy: During fhe 12 months 6e%re ,lune 11 of the year the deduction is to be e(fective�-�.,, �1,(�"�
2J Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of the year the de6�1�tTQrnisto�etfective.
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See reverse side /or additional instructions and qualifrcations. GIBSON COUNTY Al1DITOR
(otvnei ar conhact buyer - see res�tn 'ojns� on
K C, � � 9� �N�
Key number / lega� description Record number O/7
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6�9-3l-.�03 �l3 y3 - oo p Page number � 7 D( f
Assessed value o1 resl property as o( Mortgage / Contrad indebtedness unpaid as of Is the applicant the sole legal or e
March 1, amenl year March 1, wrreM year ownef? ❑ Yes ❑ No
�g� �as
If no, what Is his / F� exaq ehare of interest? If awned with someone other lhan spouse, indicate with whom.
If name on recorA is d�fafent than that ot applicant, indicate below: Is the property in question:
❑ Real Propelty ❑ Mobile Home QC 61.1
�e of mortpagee or eontred seller S
. - �3 =... - _ _
Addrees of rtwrfpage9 or canVact seller (number and st2et, city, state, ZIP t�/ � t/e P �� --
J� � 'r�
a dher owner or holder of mortgage
Address of asdp�a (rwmber end straet,
Dces applicaM ow�,prope�ty in arry other I If yes, what county?
county in Indiana4
Deduction approved in the amount of:
20 �� 20. O�_
1 /
Signature _
Dra���er NO...... 7- y�U�
Card NO. ........
What Tax�ng visuw�-
COUNTY AUDITOR
20 20 20
County Auditor
esled on
property for current yeaf? LJ Yes� No
20
Date
20
We certiy under Uie penalty ot peryury lhat the above and foregoing infortnation is true and corred and lhal the applicants was / were
�sident of Indiana and owner of the aforementioned property on March 1, 20
Person authorized by
or by IC 6-1.1-12-.07
!sident aQtlresa oTappliqnt / Address of authorized person
'(7 S /ri.�J" .ST il,./�t.pt.�_ ��/?9
of