HomeMy WebLinkAboutMortgage_Halbig (3)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7owi
__,. = FOR DEDUCTION FROM ASSESSED VALUATION
• Stale Fortn C3709 (R71 / 609) i
�' u» ` P25mbe0 by Department of Lttal Govemment Finaice �
F M
INSTRUCTIONS: �
b be �led in person w by mail wrfh (he CountyAuditor or Counry Recorder o/ the county where the property is located. F� ��
Filing Da[es: 1) Real Pmperty: Must file dunng fhe }rear (or which !he deduction is sought �U
2) Mo6de / Manufactumd Homes rwt assessed as Real Property: Must file dunng the hveNe (ttJ months ❑
befole March 37 0/ each year the deduction is sought.
See reverse side 7or addtional inshuclions and qual�cations. -� Y
jnpawn ownerorcontr�rt�uyer-seere3¢c�onsmrerersesieeln � I I _ GIBSON
CouOnti Audp09
Counry Rer�rde
T IIis ' Key num0er / legal desaiDnm Remid P nu
kc� !� - /G - Oo - oo. � - �a �
As¢sed value d rcal qoper:y as d Mortgage / Contraa inde0tedness unpaid as of Morigage / Crntrar2 iMehtedness unpaN as of Is ihe epplkant ihe sde
' 7. qmni year Meml� 1, artent year aate of appGratian kgal M equaah'e oxnef?
❑ Yes ❑ No
If ro, what's h's 1 her erarl slare ot interest? If awned with sameane aher than spouse,'udkate with wMrn
If nartre m rtmd'o diRerent Nan thal of app6cant Indirate Gebw Is e pmpeny in puestion: MnuaDy h55e55eC
Real Property ❑ Armually Assessed
� Mobile Home (IC 61.1-7
mortgagee a convaa
Name 012SS�IIEB N�� W11E� ��Ii1Mt9a9e
/�
Address of attignea (numDer and sLee4 uN, s+ate, aM Z
Dces eppfirant am property in any other
counry in InOiana? � _ _
Dra��•er.NO.a��,
Card I\'O. ..�.�,� ��,.
� � ����{Cog-�......
Has Na deduction Eeen requesteE m proprlty
tar artent yeaR � Yes ❑