HomeMy WebLinkAboutMortgage_The Hinton Group LLC.f�a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Co ow i Year
.a,� FOR DEDUCTION FROM ASSESSED VALUATION
Stale Form 43709 (RB / 2-07)
� Resrnbed by Department of Local Govemment Finance
wsrnucnoNS:
AUGF�e�+�08
To be filed in person or by mad wdh the CountyAuditor oJ fhe county wbere fhe property is bcated.
Fding Dafes: 7J Real Properfy: Dunng the 72 months be%re June 11 0! fhe year tfre deduc6on is to be e/fective. �{
2J Mobile Homes assessed under IC 6-7.7-7: Belween January 15 and Ma2h 2 0l the year the deducL'on is t be �Lv`e.�
See reverse side fcv additional instiuctions arM quali�ca(ions. GIBSON COUNTY AUDITOR
- see IesincGOns on reverse s0e)
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what is his / her exacl share
name m
of appicant. iMipte belar.
Name of mongagce or coniracl selier
��ba��as.�ezt �fl�s
Address of rtqM1ga9ee ar canlract seller (num6er aM street.
Name
or holtler of mortgage
atreet city. sfafe. aM ZlP aoOe)
Daes applicanl own property in any olher
courrty in Inda�?
❑ Yes ❑ No
Deduclion approved in lhe amounl of:
20 0 20
If yes. what county.�
zo
unpaid az oi March 1.
If owned wilh sorneaie other Ihan spouse. indica�e wiih whom.
COUNTYAUDROR
ZO I 20
numbe�
x equitahle ameR
❑Yes ❑ No
�Is- /the property in q�eslion:
p9,Real Property ❑ Mobile Home (IC 61.
a tha dedueian been re9uested on PWenY
artenl yeaR
❑Yes ❑ No
zo
zo _
I! We certify under the penalty of perjury ttiat Ne above and fore9oing infortnation is We and correU and that the applicanLS was I were a residenl of
Indiana and owner of the aforemenCOned property on March 1, 20
i�.
Person aulhorized by duly executed Power
crty si
nvC
�
�wby
Address of autld'¢ed pusan (numbei and street, dty, state, and LP coee)
Date (month, day, yeaq