HomeMy WebLinkAboutMortgage_Hayden�f«^ q STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
,,�-�v . FOR DEDUCTION FROM ASSESSED VALUATION
%�.�' �� State Form 43709 (R71 / 6-09) 51 2012
'���'' Presaibed by Department o( Local Govemment Finance dB FI{
�si•
iNSrRUCrioNS: oi S
To be (l/ed in person or by maiL �Z
filing Dates: 7) Real Property.' Must 6e complefed end dated in the calendar year7or whirh the deduclion is sought.
Must be filed with the County Audilor or County Recorder o/ the pounty where the propeRy is located �� unty Auditor
on or 6etore January 5 01 the immediately succeeding ca/endar year. ��p Recorder
2J Mobile /Manufactu2d Homes not assessed as Real Property: .MUSt (le wifh the County Auditor of fhe
countywhere the property is bcated dunng the hveNe (12) monlhs before Ma�ch 37 ofeach year the GIBSON COUNTY AUDITOR
deduction is sought.
See �everse side !or additional inshudions and aualfications.
<imberly M. Hayden
�azing Distrid
��fC,Q /��
assessed value of real property as
'th 7, wrrent year
f no, what is his / her erzad share ol
f name on retord is tlifferent than th
Name ot mortgapee or mnvaa sene
Heritage Federal Credit Union
Address of mortgagee w cont2ct se
5388 Old State Highway 66, N
Name of assignee or olher owner or
see 2stnu�ons on reverse
Key number / legal description 26-22-13-200-001.425.024 / Property
PIN
W 1200 Haubstadt, Indiana 47639
i, wrtent year
IN 47629
and
unpaitl as
application
/� ��v/
unpaid as of Is Ne applicant the sole
legal w equitable owneR
� Yes ❑ No
7 h� Is Ne property in Question: Annualy Assessed
� a- d �J B Real Property ❑ Annualty Assessed
Does applicant own property in any other If yes, what counry? What Tazing DisVict? Has Nis deduction been requested on prope
wunry in Indiana? / tor curtent yeaR
❑ Yes LZ" No ❑ Yes No