HomeMy WebLinkAboutMortgage_Eads.a °'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
- FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (RB / 2-07)
�' r Presrnbed by Departmenl of Lacal Govemmenl Firw�ce
File Mark
INSTRUCTIONS:
To 6e filed in person or by mad with the CountyAuditor of tlre county where the property is locafed. JU L� 1 ( Q(� �j
Fding Dates: 1) Real Property Dunng the 12 rtronths be/we June 11 07 the year the deduction is to be e/leclive.
2) Mobile Homes assessed under IC 61. 7-7: Behveen January 15 and March 2 of the year the deduclion is fo be eflective.
See reverse side (or edditional insWctions and qualifications. `�� ,�, �
Applirant (owr1q( a mMrdd buyer - see
r �- �
Ta�urg DisUiG Key rwmber / legal deuripibn
a�-i�r-a aoa-a
Asse_sse rdlue M real property as of March 7, airenl y�r Mortgage J Contrae indeW
aR�„ ��9 / l �t
is his / her exact share of inieresl?
If reme m recatl is OMerent Ihan Ihat
Name ot mongagee or
mortgagee v mnUact seller (number antl sUeef, dty, state, arid
of assi9nea a Wher owner w holder of ma�gage
Address of asvgnee (number arid sLeeG
Dces applicant wm praperty fn e�ry
couNy in Indana? �
❑ Yes
Deduction approved in Ihe amwnt oF:
Yi�]
I I We certify under th
Indiana and owner oi
Pawn a Wni¢ed by duly
�
�enaity of perjury ihat
GIBSON COUrvi' ^��"-'"
Record number Page number
�. 7 �- O
iess unpaitl as of March 1, Is Ihe appGpnt Ihe sde legal or equitade owneR
❑ Yes ❑ No
If a.med wiTh someone other �han spouse, indiwle wiih whom.
Is Ne property in quattim:
eal Property ❑ Mob7e Home QC G7.
C � �-' �'w..I�
It yes. whal oounty? t Tating DisUic
COUNTYAUDROR
20 20 20
Caunty
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20
(mmN. daY. Yea�
20
ie and fwegoing infortnation is We and oorred and ttiat tlie applipnts was / were a resident of
Marth 1. 20
ZIP
m by (C 51.1=12-.07 /
peisan (numberaM s7ee4 pN. sfafe, aM
(rtronN, daY. Y��