HomeMy WebLinkAboutMortgage_Schupp (2)"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
�.__, FOR DEDUCTION FROM ASSESSED��� �
� • Stata Fwm C3709 (R11 / 6-09)
,�.,� 1 Presaibed M DePartmerd of Lncal Govemment Fuwce
File Mark
�STRUCTIONS: /�p p q A ���7
To 6e filed in person or by mail with Ure County Auditor or Counry Recorder6PtN� diu�iy4Mt#e the property is located. F� fl� ��
Filirg Dates: i) Real Pmperty: Must file during fhe year for which Ne deduction is so hL � County Auditor
2) Mobde / Manu/actured Homes rrot assessed as Real PrapGi{�i�1llQsl�� _ Vhe fweNe (12) monfhs
before March 31 of each year the deduction is sought County Recorder
See/everseside7oladdiGonalinst/uctionsarMqualifications. GIBSONCOUNTYAUDITOR
AppGwnt (owner or u bu j,� see ms7ric0ons m ra siie) � � �
x� c�w�rasa
Y�
! t�er amrl share of interrst?
m re[ntl is N'.fCPJtl C�an
r�ame a nbngagee a oono-au
tlesaiption — "
—ia—lo-�c
/ Contraa'vWe6tedness
Na
ne< D1":1\1'CI' ��.. �I.�........ —
oa /l �N'
�" Card \O. ...%...C.-�.V.........
� IUS,� � —
zo _
I
!� ZSo
Pe1wn auUror
�°— � �°—
ler Ne penalry of perjury ihat the �e �ntl foregq
buyer ot ihe 6j�mentio � p n date appl
9na
of appfxant (numDer anE stree4 �}: sG�te. code)
5o N'
dWy executed Pwmr d AlfameY a by IC G7.1-12-0.7
� p¢rson (number and sfree{ ciry, sta(e, eM ZIP code)
;n�
as
WhalTadng
is filed.
�o
unpaid as of I Is Ne epPihant Ne sale
legal a epurohle ame(�
❑ Yes ❑ No
sPausc. iMxate rith xlwm
Is IM W WertY in Question: MnuaDYAS,¢ssed
❑ Rea� Proa�v � ���N �
n,�ae r� nc s
oate (monlh, daY.
�
�
is W e and cortecl arM Nat Me applirant is a resident o( Indiana aM
(imdl+. daY. Y��)
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