HomeMy WebLinkAboutMortgage_Arguello.+,�n,. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
r°�._. :� FOR DEDUCTION FROM ASSESSED VALUATION
� h Stale Fam 43709 (R8 / 2-07)
-�° Presai6ed 6y Departmenl of Local Govemment Finance �
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INSTRUCTIONS:
To 6e filed in person or by mad wdh the CountyAuditor ol the county where the p�opedy is bcated. A���
Fding Dates: 1 J Real Pmpertyr Dunng lhe 12 months be7ore June il o/ fhe year the deduc6on is to be eBetu�i7 j 4 2008
2) Mobile Homes assessed under IC 64.1-7: Behveen January 75 and Ma/ch 2 0/ the year the deduc6on is to be eAective.
See 2verse side 7w addifional insWctions arM qualifications. �-yy,� �
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Appicant (avmeryl�mnhad buyei- see ricfirns on reverse side) GIBSON C
ii� OUNTY AUDITOR
I Ta - D' 'a Key rwm I legal tlesaiptbn Reoord number Page nuniber
� ��- aa-� � 3�a-�a.3oa -oa a� 3��
., value ot real poputy as d Mard� 1, anent yeer Mw�qage / Contracl intleWedness unpaid as of March 1, Is ihe app6nnt Ihe sde legal a equitade owne :
'�, anani year
' Yes ❑ No
If rn, whal is his / her ezact share of interest7 If ownetl wilh someone ather �han spouse, indicale wi�h whom.
i7rame on recor0 is dmerenl Ihan Ina'
Narne of morlgagee or caniracl seller
AdAress of mortgagee n contred sN4
Name of assignee or oVier owner or t
i�iqte below:
sMeef.
=_r ot mortgage
city. sfafe. arM ZIP oode)
applicanl ovm property in any dher
y in India�a?
❑ Yes ❑ No
dion appmved in �he amounl of:
�� �
code)
If yes, what county?
COUNTY
20 _ I 20
question:
y ❑ Molzle Home
Dra�r�er 1�TO..o.ZQ� —
Card No. .. .337y :�„Y
�� 177,�� °Na
i
zo
zo
�naWre of Counry Autliior I County I �ate (mmff�. day, yea�
I I We certify under the penalry of perjury that the above and foregoing infomiabon is true and correct and thal the applicanLS was I were a residenl of
Indiana and owner of Uie aforementioned property on March 1, 20
fure /s fidl name) Date rteonfh, day, yean
, � ( /// �' - /y-O8
'�si � t adAres f applicant (qum6e� and . city. sta(� M ZfP e) � ��� / c/ �� ��) t�76 3�
3 w C n c� ���, ni
.rson aulhaized by duly executeA Power oflLLtomey oi by IC 6�1.142-.07 Oale (rnonlh. day. yea�
Address of aNhorized persm (numberanE street, cify, slafe, an0 ZIP code)
1