HomeMy WebLinkAboutMortgage_Pohl (3)' °"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
State Form 63709 (R8 / 2-07)
�' u„ � Presmbed bY ��e^� of Loml Go�+emmerrt Fi�ance
iNSrnucnoNS: MAY 1F�s �@Qg
To be filed rn person a by mad wiUr the CourMyAuditor ol the courrty where the property is located.
Fding Dates: i) Real PropeAy: Dunng the 72 rttadhs 6e7ore June 71 0l tlre year tlre deduction is to be eflet6ve.
2) Mobile Hames assessed urMer fC 6-1.1-7: Behreen January 15 and March 2 0/ the year the deduction o fi �a��
See2versesidefaeddfionalins6vctionsandqualificafions. �1 GIBSON COUNTY AUDITOR
v�v-[n.ivi-i�v -i
Asu�d rahie of rral popaty � d Marth t.
ofinterasl?
ymr
m recwd is Edterent ihan that of epplicam, indiwte
matgagee or wMracY selia
mortgagea v oonUad seiler (nunber arM siraet �: state. ard LP code)
oF mptnr^
� LI�:�\��L'I� �O..Y`SJO 1........
CaCd �O.p�.y...��Y.��.....
D }pb('7� CJ.7�/'
20 �
' of ryl
I / We certify uni
Indiana and owr
e (owne/s f�
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address
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Pe`wn aulha¢ad b�
2o I zo
ffi Wu�?
RemrdV I I P� V�
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Y s as af Mart�h 1, O Is Ihe appGcant Ihe sde legal a equitahle wmeR
OO� /���� ❑Yes �No
If wrtied wiUi someone dher Uwi spause, indicate wilh whom.
Is Ne property in quesUm:
❑ Real Pmoertv ❑ Modle Home OC 6-1.
VJhat Tadng DisUict?
COUNTY AUDffOR
20 � 20 � 20
requested on pfoperty
❑Ye5 o No
20 _
�/ �(y Date (rrq�N. tlaY•Y�¢ „('1
�� l i � _'"i ,
penalry of pe' at ihe above and (oregoing infom�ation is tr�e and oortect and fhal the appticants was / were a resident oi
�e aforementi properly on March 1, 20
/ Dale (month. daY. Y��)
bfy. 3fetB. eM LP ao0ep 1
�N�� �SrGq f- .� /1J
, w w ic �,.,-,s-.o�
person (numberarMSheel, rdy, sfate, antl
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