HomeMy WebLinkAboutMortgage_Schleter^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
:.,—..
• FOR DEDUCTION FROM ASSESSED VALUATION
• Stata Fortn 43709 (R71 / 609)
� / Pr¢wib¢d hy Departmerit of Locai GovemmeN France
File Mark
�iSTRUCTIONS:
A
To be �(ed in person w by mail with the CountyAuditw or County Reoorder o7 the county where fhe property is located. .
F�7'mg Dates: 1) Real Property Must file during the }rear for which the deduclion is soughL ry quEitor
2J MobBe /Manufactu�ed Homes not asseued as Real Pruperty Must file dunng Me tweAz (12J monfhs ���
befo�e March 31 0/ each year the deduction is sought. o n ecorder
See reverse side (oradd�Rional instructions and qualifirations. GIBSON COUNTY AUDITOR
f vaAie d real pmperty as d
aam�rt Ymr
no. whal is his / her e�mr� share
If nartie m recwd
number l le9al tlesc�ipt6n Remrtf num6er Page numDer
; b- 3_ o0-ood y8Y-� � I I foj
Mortqage/ Contrarl'uWehtedness unpaid as ot Morigaqe f Contrarl iiMeb[etlness unpai0 as d Is ihe applkant tlie sole
Mamh 1, artent year date of appGmtion kgal w epuflade wmer+
3 � (� O(� ❑ Yes ❑ No
g? If ovmed wiN someonc dher ihan spouse. "ud'rate wuh wMm
�P�^L iridirate Cebw Is ihe Wo7enY in puestion: Mnua%Assess�d
�tiReal RoPenY ❑ �'^^�Y %��
�"� hbdle Flame (IC 67.1-7
mortgagee « contract seAer
S•
of m�9a9ee a mnbacl sWer (numDer and sneeG , state, ard ZIP cade)
assigiee w other owner or MIAU M mortgage
ofassi9�ee(numberaMStree4�Y•/�e,andZlPCOde) / .
Does aPWimnt am P�G�nY
munty in IM'ana? r
2�
SigraMe
� aher I If yes, what muntyt
❑ No
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NRia� Tadi
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Dra���er 1�'0..�.�',..1.�........
Card 1�'O. ... ����........
���I�SOV . �u
� _ i zo
oate (mordh. day,
I/ We certify under Ihe penalry of per�y that the aDOVe,�nd foregoing infortnation is true and correc[ arM ihat the applicant is a resident of Indiana and
owner I mntrad buyer of the aforementioned prope Yon date appliptlon is filed.
� SipreLUe (owne/s 5ID reme) Date (nmfi, daY. Y��
n'
uil resitle�rt address ol appGpnt (numberenC sLeef, tiry, state, entl Z1P oode) � �� 2� �
-� 1 e -rr cc 4
Person autho�aetl by duty executed Power W AnomeY a M IC G7.1-i .7 oaie (monm. day, rea�
Pddrcss of aWwr'¢ed per'..on (number aM shee4 �1: �. en0 LP codel .