HomeMy WebLinkAboutMortgage_Hillyard^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ ; FOR DEDUCTION FROM ASSESSED VALUATION ��
State Fwm 43709 (R71 / 6W )
� 1 Presaibetl by DepartmeM of Local Govemment Firance
µ File Mark
NSTRUCTIONS: p (�',
To be filed in person w by mail with the CounryAuditor or Counry Reoorder of Ne oo�nty where the �sY�t9N- F� ���
FiTmg Dates: 1) Real Properry: Mus! file tluriig the year lor whicA the deduction is soughL Counry Auditnr
2) Mob�7e / Manufactured Homes not assessed as Real Property Must fi7e dunng the hvelihe�(7�Ms
6efore Maich 37 oleach year the deducdon is sought. v \ County Recorder
Seereversesitl�addiUOnalinstrucUonsandqual"i�cations. � GIBSON COUNTY A D TOR
�°" - 9�D�h�' !se sd°> J - - - n
A�setsea rance af real praperty as
MBIC11 1. UrtCf11 yP2f
KeY twmDer l legal desai ��.� ` J` �— ��(� ? O �7 l� �C7 Recor�,.,/ O// Fage` J��
(Jc.6�- � d -v � c.�
Mortga9e / bact intle6tetlrress unpaitl as of Mortgage / Cantract inaebiedness unpaid as o( Is Me applirant the sde
Mardi 1, m � date of app0otion kgal w equdade oxnM
l �OD( J ❑ Yes ❑ No
If M, what 6 hi5 / h2f ¢x8fl 5113R Of VIf¢RSt?
1f name m recotd "s Oirterent Nan that ot a0P��4 �irate Eebw:
Name of mwt9agee or mnUatlSeller
�a���
3
w aha owner or hdderof R --- --
_ _
Atltlress ot asagnee (numberaM svee4 my. =
Dces applirant ovm poperty in any oNer
munryinlndiana? C
❑ Yes
SORIENI2OVWf VtdlI5PpI5C.
D1�������- ���o...�o/1...:.
��f�� �io. .. 3yao.......
ctian apyoved'm Itre amount of:
20 20 20 20
�
I5 the pmperty in puesDOn: Mnuallyltysesse0
❑ Real ProPerlY ❑ ArmuallyAssessed
Mobile Fbrne (IC 61.
Has �his deEUGion Geen requested on piopaty
forturtentl'�n r-i .. r-�
20 I 20
��
I/ We certify undu Ne penalry of pe(JGry that the above arJd Joregoing infortnalion is We and cortect and Nat ihe applit�nt is a resident of IMiana aM
owner / mntract buyer of Uie afaementioned properry on ilate applicabon is filed.
�pi�¢IS , 1 d • �y _ �_ _ � Date (rtnMh. daY• Yae�)
f/ /lA.
.�c.n.a.�i ai�.r�cy
� �� � appG nt (nu� , t, My� fe, and ZlAwtle) , � �� � �� _
/1 .� . /
,y � y..cc...<<_,
rson aufhorized Ey OWy esewted Power of AttqmeY w by IC 51.1-12-0.7 Date (rrwiN. Aay. ysa�
Addrass of author¢ed person (number a�M streaG ary. stafe, antl ZIP m0e)