HomeMy WebLinkAboutMortgage_Dalton.w °"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION ���
Slate Fam 43709 (RB / 2-07)
S� � Presmbed by Department d Local Goeemmenl Finance
File Mark
wsrnucnoNS: APR 1 4 2008
To be filed in person or by mad with the CountyAuditor o(the county where the p/opeAy is located.
Fd'a�g Dafes: 7J Real Property: Dunng the 12 rtronths befae June 11 of tire year lhe deduction is to be elfeUive.
2) Mobile Homes assessed under IC 67.7-7: Behveen January 15 and Marcfr 2 of the year the deduction is to be e�jv,�, �f�
See reverse side (a additanal inshucfions aiM q�ali(cations. °���
GIBSON COUNTY AUDITOR
AppliCant /(` i'// /Y c1 A� see re�Lictions / n� /, n N � � (/ TI/ [ %
f
�� or Ba �y as
ha I het exacl
on record is differeni lhan
Name of mortgagee or
Address of mortgagee a mnlrad
� i� �ve � com�a �,a�m� �caa ��r n�n i. is ma �u�m u,a saa i�i «�uae o«„en
artenl year
❑Yes ❑ No
_ _ /� I�d wiUi someone dher Ihan spouse. �cate wilh w�wm.
�`�`���j�
�
or holder o( moA9age
of assg�e (�wrnberarM sf2et, city, sfafe.
Does applicaM vxn prupaMy in any olher
counry in Indiana?
❑Yes ❑No
Deduction apprwed in Ihe amounl of:
ob.
res. what c«,nty.�
, � ; �s3��
wne� r���g o�:�
couNrvnuoROR
zo _ zo
c«,��
Is y�e property in quesUon:
pp Real Property ❑ Mdzle Home
-D���� S �SlkF% l-�'IJF� �,
b�-11��
�
zo
I I We certify under ihe penalty of perjury that the above and foregoing infortnation is true and coRed and tlial the appiicants was / were a residenl of
Indiana and owner of the afwementioned property on March 1, 20
....,....� i..,.,..er.. Fa�,.e,.,e, Date (monfb. dav. vea0.
� -,idenl address of applicanl (`
Pason aulhorized by duy enewted
and:4eef. cifv. slate. and
w
Address of auihar¢ed pason (num6erarM streeG rdy, state, aMLP oode)
�
(monfh, daY.Y��
1