HomeMy WebLinkAboutMortgage_Beasley.f °^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
Slate Fortn 43709 (RB / 2-07)
S.•w � Presaibed by Departnrent of Local Govemmerrt Finance
Fii
INSTRUCTIONS: -
To be filed in person or by mad with Me CountyAudito� oI the county where the property is locafed. FEB 2 5 Z��9
Fding Dates: 1J Real Prope!(y: During the 12 months belwe June 11 of the year fhe deduction is to be elfeclive.
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0( fhe year tfie deductirn is to be elfeclive.
See reverse side /or additional insWctions arid qualifications. �-yh ��,�,
4pplicare (owner or mn a 6uyer- e restrrc6ons o verse si
T' Disiriti • Key number / ega desai tion `^�^c '
.W �•
r��a van,e or ��y � w��d, i, �i y�r M«�qa9e i co �a ��d
ainent year O
If �d is his I her erzacl share W irMiest?
If reme m recud is di(fererrt than Ihat aF applicaM, indip�e below:
moAga9ee or wnlracl sHler
mntrad seller (numbu arM
ass9rree a oUier owner a hdder of mortgage
r `�
state, a�M LP cade)
of asvgnee (numb� arM sbeeL nty. 9afe, and ZIP code)
applicaN own property in a�ry dher
y in Indanal
❑Yes ❑ No
Dedu�.tion appra✓ed in Ihe amwnt of:
F.'�7
SigreWre ot Counry AudMr
unpaid as af March 1
GIBSON COUNTY AUDITOR
Is Ihe appfipnt Ihe sde legal w equitade avrieY
❑Yes ❑ No
I( owned wilh sameone other �han spouu,
Wtat Taring DisUicl?
COUNTY AUDITOR
zo � zo � zo � zo
Is Ihe property in question:
❑ Real Pruperty ❑ Mobile Home (1C 61.1-7)
Has �his deduGian 6een
fw artent yeaR
20
uesletl on property
❑ Yes ❑ No
Da�e (mmfM1. daY.Yea�
20
i/ We certify under the penalry of perjury ihat ihe above and foregoing infortnaUOn is true and correct and that ihe appliranfs was I were a resident of
Indiana and owner oT the afwementirned property on March 1, 20
ireture (owners fiA/ namel Date (mm�fh, daY• Y��
ot applicaN (nurnber and street, dfy, state,
by IC
of auUmr¢ed person (number arM stree(, aty, state. arM ZIP wde)