HomeMy WebLinkAboutMortgage_Richardson.�+°°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
Slate Farm 43709 (RS I 2-07)
�' y�� 1 Presaibed by DepartmeN of local Govemmenl Finance �✓ �
File Mark
�NSrnucnoNS: MAY u � �;;�;:;
To be filed in person or 6y mad wdh the CountyAuddo� o/ the county where the p(operty is located.
Fd'mg Dates: 7) Real Proper(y: Dunng the 72 months before June 17 of the year the deduction is to be elfec6ve. �
2J Mobiie Homes assessed under IC 6-1.7-7: Behveen January 15 and March 2 of the year the deduclion '��e7fs�4f�
See reverse side /wadditional ins6uc6ons a�d qualifi� ns. GIBSON CO� Tv �...__
' Key num r / legal
1 Co -I
of Mardi 1. aurent year
ofinterest?
record is drf(erenl U�an U�at of applicanl, iridicale belav:
lD l-OOb.O�S-O�
Coniract indebtedness unpaid as of March 1,
r IJb OOD
Name of mortgagee or conlract sNler �/�
/
AddressofrtroM1gageeormntraGSeller(numberaiM.#�ee(tity.stale, ZIPcoOe)
Name of assignee w ather owner w hdder W mortga9e
(nurt�bps aM sGee{ aty, slate, a�
Does applican� own property in erry olher
caunry in Indiana?
❑ Yes ❑ No
in the amamt of:
counl�? I Whsl
COUNTYAUDROR
sortieone other ihan spouse. ir�dirate wiN wtrom.
� ���taaa �r,
❑Yes ❑ No
Is U�e propeRy in quesUon:
❑ Real Property ❑ Mobile Home
; �his deductim bcen requested on property
arrent yeaR
❑ Yes ❑ Na
20 20 20 20
- DI':111'CI' 1�'�. �Q —�� �/� County � Date .daYY�� �7
."' T �—OS-OCJ
C� I'v j�' Q �� : and fwegoing infortnation is We and correct and that Uie applicants was I were a resident of
...•.......... Aarch 1. 20
� � Dale (rtronN, day, yea�
!'�'I C`,�l >t I� � �
Person ainhorized by duty e�cewted I
Address of aWni¢ed persai (num6
q �., i1.142-.07
and sheel city. sfa(e. aM ZIP wde)
Date (monN, day, yea�