HomeMy WebLinkAboutMortgage_Young (7).►"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
�,r��� FOR DEDUCTION FROM ASSESSED VALUATION
. State Form 43709 (RB / 2-07)
�°�;e,. � Presaibed by Department of Local Govemment Finance E _r h..� �
INSTRUCTIONS: � �- �J � ��e Mafk
To be fi/ed in person or by mai/ with fhe CowtyAuditor ol the county where fhe property is /ocated. � Z009
Filing Dates: 1) Real Property: Dunng the 12 months be/ore June 11 0/ the year the deduc6on is to be eflec6� N
2) Mobile Homes assessed under IC 6-7.7-7: Between January 15 end March 2 of the year the deduc6on is to be eflec6ve.
See 2verse side (a additional instiuctions arM qualifications. � /�//
`�aF-, N /%�r.'
P�P�Y �
�fions on rgv@rse �tl ) �
;�AV�'„�� GIBSON COUN.TY AUDtTO
num6e I legal desai Recortl um r Pa9e number
�.'�-la- S- o . So-oa"7 � '7��a
1, arrentyear Mortgage / CorriraU indebtednws unpaid as of March 1, Is Ihe appBnnt Ihe sole legal w equitade ame(1
wrrerri year
I h f_ n n t� ❑ Ye5 ❑ No
what is his I her exacl share of interesl?
on recottl is tli(ferent Ihan Ihat of applicanl, indiple below:
Name af rtwrtgagee or conlract seller
mnUad seller (number aM streef,
Name of assignee or other avner w hdder of mortgage
Address of assignee (numberaM sfreel, city. s[ate, entl
Does applitanl own property in any olher It yea,
courriy in Inda�7
❑Yes ❑ No
Deduction apprwed in the amount of: ,\�
/' 'p W
2b � 2b� r�� �" '1
/ , op�.••'
SynaWre of Counly e' 1
Re7
20
someone
What Texing Disirid7
r.�
spouu,
Is �he property in question:
❑ Real Property ❑ Mobile Hwne QC &1.
Has Ihis dedutlim been
for curtenl yeaR
20
���� U
uested on property
❑ Yes � No
20
Date (rtanth, day, yee�
. ��C� . � /�� I �
�/ yye , �� � '� 9 l � and foregoing informatan is true and mrtect and ihat the applinnts was I were a resident of
Indiana . �� �.�{�� , on March 1. 20
e(owl. �,���` {%,M a�� 1 Date (monfh. daY.Y�O
' V'
J resi nt adtlra �h�e/r and sGeel. cdy. state. arM ZIP co0e)
�d�,5`��i .���� rIVoOG �aS'�' � ZN U767f�
rson authorizetl by tl..ry execuled Power of Ntnmay a by�IC 61.7-12-.07 Dale (/�nth, Qay, yeen _^
person (num6eiaMStreeLaty.stefe.arMZIPcoQe)