HomeMy WebLinkAboutMortgage_Alvis'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
s�e F«m e3�o9 �RS i z-0��
�' � Presmbed bp DepertmeN of Local Go�emmeM Finance
File Mark
INS7RUCTIONS:
To 6e filed in person w by mad wrlh the CouNyAuditw ol the courdy where R,e pioperfy is bcated.
fd'arg Dafes: i) Rea! Roperfy.' During the 12 months belare June 11 d fhe year the deduction is to be e
2J Mobile H assessed under IC 6-1.1 J: Behreen January 15 end Ma�ch 2 of the year fhe d u'on �s o .
See reverse side fa �" nal msWCGOns aM qualificatio .
, n � , � . MAY 0 5 �nna
� wv� �-
,�i K���/'71
ot real papaty as d rdardi t, a+rem y�r
than Ihffi d aPqicenL indi�le bdwr
Name of rmrtgagea ar mMact seller
-�/39-oa� GIBSON
'ndebtetlness unuaitias of Marrh 1. IS lhf
Adtlress o( mort9a9ee or mnUati seller (n�mber arM steet �Y. stafe. end
Name of assi9nee d d1�u awner or hdder d motgage
�
I / We
Pason
and sLeet dty, sfate.
own property in arry dhm
m7
❑Yes ❑No
8�f VI¢C Ifl �h8 BRIWfII Of:
�
mmeme
i, Dt,� t• \O.. �� ........
\\' L'
— � 1•i•........
C��d,O �(J `��•v/
��tl�
20 -�". � 20_ 20_
Counry
R�l�
w eQuitable wmeY7
❑Yes ❑No
indicate with whom.
Is 1he propeiry in queslion:
❑ Real Prooertv ❑ Modle Home
�� � ���� a� �
yean
❑Yes ❑No
20
rhty under th� penalty of�%�ury that fhe above and foregoing infortnatiw� is We and mrrect anC that tlie appGCants was / were a
ind owner oi the afaementimed property on March 1, 20
{ e/s /u me) Date (monN. daY. Y��
address ot applipM (number a�M streeL dry. stafe, aM LP code
> 2�o S P�t�,v �� I �4Z �c�r�c�TO �J �N �t� ��o
xaed by duN �eai�ed Pwmr of Pitor�y w by IC Gf.t-12-.07 Oate (mmN. day. yea�
person (nwnberandstreel,aty.sfate,
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