HomeMy WebLinkAboutMortgage_Barker� STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS
- ' FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
�. � � Slate Fortn 437W (Ra I t0-07)
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� PresmDed by Depanmenf cf ! ocal Govemment Finance
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INSTRUCTIONS: ,fUL OF�ile�
To be filed in person or by mail with the County Auditor o/ fhe county where the property is located.///���
Filing Dates: 1) Real Property: Ouring the 12 monfhs be)o�e May 11 of the year the deduction is tqqe e/fective.� ��
2) Mobile Homes assessed under IC 6-1.1 J: Between January 15 and March 31 0/ tE%�,ear�tha��e�ucL. 'oq is t�e e� ctive.
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See reverse side foradditional instructions and qualifica6ons. ���GIBSON COUNTl' AUDtTOR
or contract buyer - see r,esffic�ions on reverse side)
District � - Key number / legal description
�n, fl, �i�e �i �l, � ,%� (e�� -�1��—�
Assess d value of real property as of "
Marc , current year �
! � �
If no, what i'/ h�qexact re of interest?
Mortgage / Contrad indebtedness unpaid as
March 1, current year /
Record number O �
Page number
Is the appliqnt the sole legal or equitable
owne(? ❑ Yes ❑ No
If owned with someone other than spouse, indicate with whom.
If name on record is difterent than that of appticant, indicate below:
�3me of mortgagee or contrad seller
�
Address of mortgagee or contrad seller (nu er and street, aty, state, ZIP
Name of assignee or other owner or holder of mortgage
assignee (number and st2et, city, state, ZIP code)
Does applicant own property in any olher If yes, what counry? I What l
county in Indiana?
COUNTY AUDITurc
Dedudion approved in the amounl of:
20 � � 20 D a � 20 � � 20
County Auditor
s the property m ques[ion:
❑ Real Rnperty O Mobile Home QC 61.
Drawer i�'O.. � ./3....� � � I
CardNO . ..................... ed on
;O No
� J
20� 20
Date �
/ We certify under lhe penalty of perjury lhat lhe above and toregoing information is true and corred and lhat ihe applicants was / were
resideni of Indiana and owner of the aforementioned property on March 1, 20
Person authorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07
IAddress of authorized person
O