HomeMy WebLinkAboutMortgage_Davis (18)°'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year_
_} FOR DEDUCTION FROM ASSESSED VALUATION i
. s�e Fo� a3�a9 crxe i zan �
�9 „�. � Presm'bed by DeVertrtrent of Loral Go�emmelri Firence �
f'I a
INSiRUCTIONS: �
To be filed in person or by mail with the CouNyAuditor o( the courtty where fhe p/opeRy is bcated.
Fding Dates: 1) Real Property: Dunng the 12 months befare June 17 0( the year the deduttion is to be elfeUive. AI n\/ �,{ '� u u�
2) Mobile Homes asseued'mdar lC 61.7-7: Behveen January 15 and March 2 07 the year fhe deducGon IS %b be ff�cLbe.
See reverse side /w additional ins6uctions ard qua6fications. �
qppirant( ei o0 6uyer-seere�ictiats side) �'/ �
GIBSON COUNTY AUDITOR
T"rg i G Key rwmber,C J I �� �—�O �/. �/` Remrd�mbps� Paga rurtnber
�
Ass¢sud ralue of real popaty a Ma� 1, aerenl y�r Morigage d indebledness unpaid as of March 1, Is Ihe appfimnl lhe sole legal w equilabla wrtie(1
wrrent � 9 O C7�
� ❑Yes ❑ No
If ro. what is h's / her ezad share of inte2st? If oMrtxM wiTh sort�eme dher �han spouse, indicate wilh whom.
m remrd is dif(ereN Ihan Nal of
Name of morigagee or cmUacl
mortgagee or wnirae seller (number
of asvgrree or aiher owner w hd0er W mort9a9a
AdOress of assgnee (mmiber aM s4ee1.
Dces aPqicant avn pr
caunry in Indiara?
DeducUOn appmve� i
�� ;� .
�;
����.
I ! We certify undei
Indiana and owner
address of
dry, state.
'^`� NhCf I �1 ye9. Whe1 mml�
Dra �ve,- NO.O�M
^i/�.:$. . .. .
Card �170. . y�7� ........
���� 9,989. �
L 'I
zo
IS 1f18 010P2f1)' Ill GUBSil011:
� R�I Pmperty ❑ Mobite i-bme
Has Ihis tledudion been requested on property
for n�rtenl yeaR
❑Yes ❑No
of pe�ury �at the above and foregomy ��....rtna6on is true and correct and that the
nen4vned roPeAY on March 1. 20
dWTC61.7-1
aF auihorized person (number and sLeel.
� i Zo
�m�day yea
was / were a resideM of
Da1e (rrmth, day, yea7