HomeMy WebLinkAboutMortgage_Gillihan.��'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
;,, .; ?� FOR DEDUCTION FROM ASSESSED VALUATION
Slate Farm 43709 (R8 / 2-07)
�'';- •� Resaibed by Deparlment of Local Govemment Finance
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INSTRUCTIONS:
To be filed in person or by mad wdh the CountyAuditor of the county where the property is loceted. �
Fding Dafes: 7J Real Property: Dunng fhe 12 months before June 11 o7the year the daduc6on is to be eRec6ve. n F r` ��? ��g
2) Mobile Homes assessed under IC 6-1.1-7: Behveen January 75 and March 2 0/ the yea� the deducGdh � to e dReetrve.
See reverse side /a edditional insWCtions arW qualifications.
-see
�I
/ her exaa share
Name of mortgagee or cmlracl seller
GIBSON COUNTY AUDITOR
Key mimber / I al desaiption Remrd num r Page um
�lo-ta-IS - 30 -oa � • �3 a-oa � � B(
vd� 1, narenl year AbNgage I Contract irWebted�ss unpaid as M March 1, Is �he appfimnt �7re sde legal a equitabie owne/1
airtentyear
O Q ❑YeS ❑ NO
leresl? If ametl with someone other ihan spouse, indicate with whom.
irWifate below:
Address of mortgagee or conVad seller (number aM stieet. tlty, state,
Name of assignee or dher avner ar holtler oi martgage
Address
Does applicant own property in arry olher I �f yas. �� ^-'-' -
counry in Indana? - �
❑Yr� n
G�L `"� A ��'S ��
Ded �na�� D � .5��
i
cro0e)
DROR
20
Is Ihe proparty in question:
❑ Real Roperty ❑ Mobile Home (IC 61.
Has Utis deduclion been requesled on poper�y
fw anent yea/.+
❑Yes ❑ No
20
20 _
inawr a nb Audimi Coumy I oate (mmp�, tl9y,Y�����
( �
I/ e cerG under t e nalry of perju that the above and foregoing infortna0on is We and correG and ttiat the applicants was I were a resident of
Indiana and owner of afpremen6on property on March 1, 20
`naWre (�ers hAl neme) � �/� Date ( N, tley, yea� p
) d � 1 U I/ � ��--� s- l�j p
r N✓ D� /._�—�
`��lF dres� s of appliwnl umb�r endsfree� cif,�. state. arM ZIP oode)
7 ti' ��i t.Q i� M.eJl:sa 1/`� 'r� 4� a
rson aulhorize0 by tluly ezewtad Pvaer of Ntomey a 6y IC 67.7-12-.0�— Date (mml�. tl� yeq� -�
� — �
Address of aulhoraetl pe�sm (numbei aM sbeet city. stafe, aM LP totle)