HomeMy WebLinkAboutMortgage_Hibdon°"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
s�ae F� a3�a� �Ra i z�»
' ar � Presaaed by Depenrtrent d La�l Go�ertuneN Firarce
ixsrnucnoNS: MAY Fle ��f109
To be filed in person w by maD with fhe CourdyAUd"rtor o/t/ie courrty where the property is bcated.
Fding Dates: 1 J Real PiopeJ(y: Dunng Ure 12 monfhs be%re Jurre if of the yrear the deduction is to be eHec6ve. `-yy� ��
2) Mobila Homes assessed emder IC 6-1.1-7: Belween January 15 end March 2 0/ Ure }rear the deduction is tyb4'
See 2verse side !or addrtional insbuctions aid qualifications.
GIBSON COUNTY AUDITOR
Appicant(ownerormnl@dA1I)'Bl-SBBjB�SP'1lBV�lSBSd�� � �. � �/� A
oiwia ^. Key rwmber / Ieg:
ed rahie of real pmpeM1y az of Rh 1. w'art Ymr
h2l IS h6 / hB! C1Y1.15h8f8 Oi 1(118251�
i m retord is dilfe`ent Uian that d applicaM, irWic
�f matgagee or conUact seller
Addrrss of mortgagee or mnUaa seller (number aM s6ee4 dty, sfate, and LP cade)
v.vr�er a
Rcrad iw O/ I Pyqe ralmber
/ �6
�a�,,.
It w�ned wqh sort�mne aTher Uwi spousa. indi�ate wiih whom.
Address of assigrree (inrtMm and s6ee1. .'. _' ' , _ . _ _ .
�-. %� _
Does applicarq own pnparty in erry alhe " !J DO � ����" l-� 3Uic11
county in Indiana? .
❑ Ye5 ❑ �� /�J-�N� LC � �'I —
Deduction apprwed in ihe amouM oE
i�7
Sigradre
ii��
�� ,�� s
20
❑Yes ❑ No
Is the property in quastian:
❑ Real PropeAy ❑ MoWle Hort�e (IC 61.1
Has Ihu dedudian been
for nirtenl y�R
y
uestatl on property
❑ Yes ❑ No
20
I/ We certify under the penally oi perjury fhat the above and foregoing intortnation is We and cortecf and Uiat fhe appiiqnts was / were a resident of
Indiana and owner af ihe aforertientioned property on March 1, 20 -
C e/ / 1��1i11Y. I W / I 1 � 7T! �Y) Da1e (mmN. daY• Y��
state. e,p4 LP
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Pg'�
IN
�ale (mmth. day Y��