HomeMy WebLinkAboutMortgage_Edwards (2)e�� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
_ = FOR DEDUCTION FROM ASSESSED VALUATION
! State Fortn 63709 (R6 / 5-06)
� Presaibed by Depanment of Local Gwemment Finance
INSTRUCTIONS:
To be filed in person or by mail with the County Auditor o( the county where the p�operty is located. I�AR 2 6 Z�O�
Filing Dates: 1) Real PropeRy: Du�ng the 12 months before ,lune 11 o/ the year the deduction is to 6e effective.
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of fhe year the deductlon is to be eflective.
See reverse side fo� additional instnic6ons and qual'fircations.
1��a� ,Q �
GIBSON COUN7Y qUDITOR
Applicant (owner or cont2ct buyer - see restrictions on reverse side)
Assesse value of real property as of
March 1, urrent year
If no, what is his / her exact share oi interest?
Key number /
description
t�3 - oa�
-� --3y - - ooa _ ,_ 1 `l 4
Mortgage / Contract indebtedness unpaid as of Is the applican,,,t ���th111e,,, """sole legal or equitable
March 1, current year owner? �es � No
If owned with someone other than spouse, indicate with whom.
name on record is different than that oi applicant,
of mortgagee or contract seller
below:
of mortgagee or�ntract seller (number and sdeet, crty, state, ZIP
Name oi assignee or other owner or holder of mortgage
Address of assignee (number and straei, city, sfate,
Does appliqnt own property in any otlier If yes, what county?
county in Indiana?
Deduction approved in the amount of:
/ / 1 1 ,r ;
What Taxir�
COUNTY AUDITOR
20 0� 20 20
(
County Auditor
� Mobile Home
%�� W.......
]�C�\\'Cl' \0..��.lV•
�'19
.
�• rd ��' �t't3���q•��
�a .
2�
Date
20
�
I/ We ceRi(y under the penalty of perjury ihat the above and toregoing infortnation is true and cortect and that the applicants was / were
�sident �ndiana and owner of the aforementioned property on March 1, 20
or by IC 61.1-12-.07
person