HomeMy WebLinkAboutMortgage_Padgett"•r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
__ : FOR DEDUCTION FROM ASSESSED VALUATION
• $ta[e Fortn 63709 (R71 / 6-09)
S 1 Pfew�bed by DepartmeN of Loml Gavemrtrerrt Firence
INSTRUCTIONS:
To be fiied in person or by ma wrth !he CounryAuditor or Counry Recorde� of the counry whe2 tAe property is bcated.
Filing Dates: 7) Real Pmpe ' Must file dunng fhe year hr which the deducfion is sought.
2) Mo6ile / Man ctured Homes no1 assessed as Real Property: Must file dunng the hveHe (12) months
before March 37 of each year the deduction is mught. �\
See 2verse side 7or adtldionel �s(rGctions and aualilrcatans. .. I \
Mert� 1. ¢rmn[ year I March 7, anenl
I
K M. W�18� 6�16 � �IEf P.Y3f2 5�12I8 Oi Il11PJP3l�
It nane m femrd is NRereM Nan Nat o( aDP�+4 mdipte GeW.r.
Name of mwigagee or conV2U uller
AddRSS o1 nwrtyagee ot mntraG SeGer (numLri a sbeeL �y. �
Name a1 assignee w atlrel owner rn holder of mvigage
A4tlres5 ot assg�ree (number antl sbee4 �: slele, eM Z/P catle)
Dces epplitant ovm {wperty in any oNer I( yes, wha
munry in Indana? r—i .. r� "
zo
I I We ceriify
ownerlconh
Pvson
e anwunc oe
�_
ihe�
Pe��
C�u���ditor
��j CauntyRemrder
� GIBSON COUNTY NUDiTOR
�C� Refnrtl num� Fag/ T� /
� a s
of Mortgage I Contract indebtedness unpaid as of Is ihe applimnt the sole
date o( appGCatbn iegal a equitade ame/?
❑ Yes ❑ No
is Ihe V�P�Y in QuesGm: M�wwaDy Assessed
� Real PIOPeri�' ❑ M�ua��Y 0.ssessed
MoWle Horrie (IC G7.
What Ta�dng DistriG7 Has Ure �on heen requesle0 m pmpefty
far ame�u lrear' ❑ Yes ❑ �
COUNTYAUDf
Dra���er NO.... d�0..��....
� zo �5�9 .
c���a �ro . .....................
c«mt . � �vl 0�0.
e bove and foregoing infortnation u uue ana cortea arm tnat Vie applipnt is a resident of Indiana
� erty on date applin0on is filed.
of Attamey w Cy
aid sLeot. crry, state. and ZIP code)
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