HomeMy WebLinkAboutMortgage_LavanwaySTATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
� / State Fwm 43709 (R5 / 4-03)
Presaibed by Departmert ot Local Govemment Finance �
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INSTRUCTIONS: File Maric
To 6e filed in person or by mail wifh the County Auditor o/ the county where the property is located. N � � 0$ 2��5
Filing Dates: 1) Real Property: During the 12 mon[hs 6efore May 11 ollhe year the deduction is to be ellective.
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of the year fhe de�uc[ionAs to be eNective.
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See reverse side (or additional instructions and qualificafions.
GIBSON COUNTY AUDITOR
6uyer -�e restriFtfer�s on reverse side)
i axing uistna - Key number / legal de��ription Record number �O a�
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Assessed value of real property as of Mortgage / Contrad indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, current year March 1, current year owneR ❑ Yes ❑ No
If no •"—""� -- - � �ith someone other than spouse, indicate with whom.
VOTE
�f� ��CKY �QODBU�N Isthepropertyinquestion:
Gibson County
RECORDER
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Paid for by Woodburn for Recorder Committee
resident address of applicanl C..
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❑ Real Property ❑ Mobile Home QC Crt.
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Has this dedudion been requested on
property for current yeaR � Yes ❑ No
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tion is true and correct and that the applicants was / were
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executed Powerof
or by IC 6-1.1-12-.07
Address of authorized person
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