HomeMy WebLinkAboutMortgage_Zehner.' °'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION � ��
s�a F«m a3�o9 cRa i zo»
�' � Prasafned br Deparlmeru or Lacal Govei,in,em Finance
NM
wsrnucnoNS: -- M� Ma�` 2009
To be filed in person w by mad with the CourrtyAuditor of the courrty whe2 the propeAy is bcated.
Fding Dates: 1) Real Property: Dunng the 12 monfhs be/ore Jurte if of the year the deduction is to be e/fecLve. � "' � v
2) Mob�7e Homes assessed 1mder IC 6-1.1-7: Belween Januery 15 end MarGr 2 0l the year tl�e deductim is to bq�a,�avg. �Y�
See reverse side fa addrtional ins6uctions and qualfications. �/
GIBSON COUNTY AUDITOF
n��Mr�e.�� w,ver- �x�nsm sicsf�
��-
l�sessed vdue of popary as of March i, w�a�l year
I��hal is h5 / het erzG share of iMerest9
If name m record is d'AtereM Nan thal d applicaM, indiqle
Name of mwigagee or ooMad sdler
Address of morlgagee ot cmUaC saller (numbu a
Narne of assi9nee a aU�er awner w hdder of mart
Address ot assigiree (nnd>er and sbeet �'. sfatt
Does applicaN own P�W�rtY in erry olher
couMy in Indiana7
❑Yes ❑No
Deduction approved in Ihe amaunl of:
Q.y��
I/ We certlfy under the p
Indiana and owner of the
y of perjury
ernentimed
�
and sh
�
Address of aulM¢e0 pason (num6ei aM straet
co-�o�--�t�o.3 ta�
;oryr�c.t yMebte�lness ungiE as of March 1. Is ihe
>9 ��"����� �3
������e��
❑ Yes ❑ No
someone atherUan spouse, intlicate with wlqm.
Is Ihe propeM1y in questim:
❑ Real P(aperty ❑ Mohle Hmie
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�a Uog_ i g�.�
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1-800-322-3391 oD
Insurence antl Risk Management for Local Govemments a'
above and foregoing infwmation is true and mrtect and that'
V on March 1� 20
state. end LP m
�by 1-�
state, aM Z!P oode)
L�.
� 'nn.poperly
� � -
y � aa _(v''�7
/