HomeMy WebLinkAboutMortgage_Meny (8)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
� State Fortn C3709 (R17 / 8-09) �
,• / Presaibed Ey DeG�WM of Local Govemmerrt Fu�ance
� File Mark
INSTRUCT10N5: C .
To be filed in person w by mail with the County Auditor or Counry Recorder o! the county whera the property is located. �
Filing Dates: 1J Real PropeRy: Must file dunrg tha year (or which Ne deduclion is sought. unry Auditor
2) Mo6ile / Manufactured Homes not assessed as Real Property Must file d�nng the Iwefve (12) months �ty Remrdu
6efore March 31 0! each year the deduction rs mught.
SeereversesideforaddiUAnalinstructbnsarMOUalifications. „ GIBSON COUNTY AUDITOR
AAesed vahc � real V�rY � �
MarU 7, anent year
If m. what Is ttis / trer e� shara of NterestT
i INRIB IXI f2�
Name ot rrortgagce
Name ol asignee w
(rumber and streeR �Y.
morcgage
Adaress of assignee (num0er aMSaeet �'+!Y, smre. and ur mcel
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Cate of appGtation
someone other Ihan
IVJ�a� Tav�g D'cUid7
)UNTYAUDROR
20_ 20_
unpaid as d
Page
rtlade avrt�eYl
Yes ❑ No
IS C12 P�Y 1I1 GIIPSMl1: MfIW�' AS�
❑ Real RoPertY ❑ !!^^!mlly?s�ssed
Has ihis deductim Eeen re9uested m P��Y
for wrtem yeaY.� n„__ n
���
� r " � ..- ..� .
I/ We rtify urW r the penalty ot rjury that Ne above and foregoing in(ortnation is we and cortect arW thai the applicant is a tesident o( Irdiana and
ovmer I contracl uYer M the e�rtoned Property on date apdication is filed.
� n,re ��s rw me) oa�e prbmm, eer, r�n
FW resitlrnt add N appMant ( antl sbee4 �; state. anr IP code)
os N, ; s�, . s�,- � N, 763
Ferson auuw�e M aWr exewtea ao.�er aranm,er «M ic 6�. t-t z-0.� oate (mmN, aar. r�A
AOtlress d aW�u've� person (numbel antl streef, rify, state. anC LP mde) _