HomeMy WebLinkAboutMortgage_Forshee�yl;'�ai STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS � Cou t owns ar
FOR DEDUCTION FROM ASSESSED VALUATION
SiatePorm43709(R11/6-09) Gi 5 2
`�r��• PrescriDeE by Depanment of Loral Govemment Finance �,I p' �9
�VSTRUCTIONS: 1YOY I��rLO��
ro be liled in person a by mail. Form netl wim:
Filing Da�es: 1) Real Property: Must be comdeted and dated in fhe cafendar year for which lhe tleduction is sought ��• un Autlitor
Musf 6e filed with Ihe County Audi(or or County RecoMer o/ the counry where the property is located
on or before January 5 o!!he immediafety succeedirg calentlar year. I ❑ n ecorder
2) Mobile /Manu/actured Homes rro1 assessed as Real Property Mus[ Re vnth the Counry Audilw of t61BS0 COUNTY A DITOR
county where fhe p�operfy is located dunng fhe twelva (72) months be/ore March 31 o/each year the
deduclion is sought.
See reversa side for additional instrucfions and puali/iw6ons.
s¢B BNncfions m /everse SKIe)
Michael W Forehee 8 Jennifer K Hirsch-Forshee
Ta>.irig Dislrid Key number I legal descnptian
Johnson 26-2313�00-000.039-024 Pt S 1/2 SE 114 13�3-70
Pssessedvalueofrealpropertyaso/ MortgagelCmVacln
Maech t, curtent year March 1, a�rrent year
If no, whai
name on record is Oifterent �han Ihat ot appirant, intliwte bHav:
Brent R Armitage 8 Mgie Armilage
Narre of mwt9a9ee or cont2cl seAer
Old National Bank
Atldress of rtrortgagee or cwtratl seller (num6er and sbeet ory. 5ate, antl ZIP code)
1 Main Street, Evansville, IN 47708
Name of assigrree or ather owner or holder d mongage
Ptldress of assi9nee (number and sveel, dty, 9ale. antl ZIP
Remrtl number
as W I Mortgaga / Cantract inCebledness unpaid as d I5 Ne a
date of appliqlion legal or
584800.00 I
If ovmed wiN wmeo� other than spouse.
Pagenumber
S"So !P
Ppicani t�e sole
eauiuWe ov.�ner?
Yes U No
I5 the property in que5lion: Mnualty Assessed
❑/ Real Property Q Mnually Assessed
Mobile Home (IC Cr7.
� Does appliram arrn property in any other` If yes, what munty? V✓hal Taaing Disvict? Has lhis tleduciim been repuesletl m popeny
�yunry in Indiana? ❑ Y� �-y� .o for arreN yeaR
l]QN ❑ Yes O No