HomeMy WebLinkAboutMortgage_Maikranz (8)""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS n T hi vear
. FOR DEDUCTION FROM ASSESSED VALUATION
s�a Fa�,� sa�oe �Rio n ioa� J
�»» � P(awinee br �mrent d Loml covemmem Frtianw
INSTRUCTIONS: Fle a .
To be filed in person ar by med with !he CovntyAWilor o/ the county where fhe property is located.
Fliig Dates: 7J Real Property.� Must fJe tlwing the year /or which the deduc8"on is sought a« �
2) Mo6De / Manulacturetl Homes not assessetl as Real PropeRy: Must fde dunng tlie tweNe (12) montlu befo�Marcn�a/ each year
thedeductionisxwghl. GIBSON COUNTY AUDITOR
See revarse sMe !ar addd"mnal irtsWdions eM qualifrcatians.
nppfica+q (o.naor mnfsd buyer- rosBiCia+s m�ywse sde) ,n � ��
•cJ.� �
a�ch 7, amatq Y� MarU� i, em year
� DOt
ro, whal is his / her e�d share d iNeresft
reme m recntl is d'dlerem Ihan �haf of aPObpnt. iMicala bebr.
a
Addrau d mor�agee or cmlraU sener (mm6e�and shoo4 �'. si
NamB of es5ipriee of oNef Owner a Adder of mMgage
Pddress d essipneB (iWWrMd and shcrof. ti�: Stdk. ab ZIP m0o)
Does appleanl wvn prape�ty in ary dher H yes, wt�
Deeuctbn a0om+ad in Ma amoum af:
Remrd
I l� �, 6Z� I u Y� u Na
if v.med with someofre ot�er ihan sP��, i�rcale wiih �Mwm
Is Ne P�GartY m CueSion: MnuaOy Aasessed
❑Real Pmperty ❑ MnuallyAssessed
Modle Home (IC 61.1-�
Dra���er NO.aiC�A.�.........
��ard No. .. 5978...........
; 3h.,d �C .�95,c0o. �
D�weM
� No
ZO _ 20 20 20 20 20 20 _
Signature dCOUnNAuOitor Couny Date (rtmfh. daY.l'�I
1�We ceNiy under ihe penalty of pujury ihat the above ard foregoing mfonnation is We a� correcl and that the appGrant is a res0ent of India� aM
qwner/'Opntract buyer of ttie aforementbne0 property on date appli�tion is filed.
(�wrWer aM sboe(�Gly. sfale.
person (num6oran0 stmet �: sbfe, aW LP cotle)