HomeMy WebLinkAboutMortgage_Hyneman (2).+"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
� FOR DEDUCTION FROM ASSESSED VALUATION ��
sute F«m aa�oe �ae i 20»
•� uu � Prasaibed by DePartment of Local Goeemmeni Finance
INSTRUCTIONS: .J U IV le�na`k2008
To be filed in person or by mad with fhe CountyAuditor o/ the courtty where fhe pmperfy is located.
Fding Dates: 7) Real Proper(y: Dunng fhe 72 months before June 17 d the year the deduc6on is to be etfective. �y�, �/
2J Mobile Homes assessed under IC 6-1.1-7: Behveen Jarruary 15 and March 2 0( the yeai the deduction is fo b�efl`aE�ye��J��
See reverse side fa additional instiuctions ard qualifications. �� ��
GIBSON COUNTY AUDITOR
0.ssessed vahie of real P�P�Y as of March 1. a+renl Year I Abr�qa9e / ConUact ir�
CURenlyear 1 �
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,�:mai �s n�s i r� e�e :nare m uneresn
�r�iQ�I�/Lfi
If reme m record is d'rf(erent
Name of mortgagee or
mortgagee or conUad sellet
assi9nee w dher owner a hdder of morigage
assignee (number arM s[reef,
Oces apd�nl own poperty in arry olhrs
counry in Indiana?
❑ Yes ❑ No
OetluGron appmvetl in �he amount of:
i7
0
dty, state, antl
If yes. what counry9
20 _
� � Reco number Page rwmber
„^ �,�' ^,�S ' 008 35D
edness unpaid as of March 7, is ihe appGpnl lhe sda legal a equitabie wmeR
Q O ❑ Yes � No
I( owned wdh someone dher Ifw� spouse. �cale wiih whom.
Is �he property in question:
❑ Real Property ❑ Mobile Home QC G7.
� S �3 a,0og-
Drawcr.il'O..o,��„�„�:�3�
wn 1
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�^ Card !\'O. .. '
COUNTYAI''r/ y1C:Q /n�� ��y�""'
� l/ � �� � v�� / r �i(.�i
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20 I 20
Camry
20 _
d��
e5 ❑ No
20
(monlh. tlaY. Yea�
I/ We certify under the p�alty of perjury ihat Ihe above and foregoing infortnation is true and mrrect and that tlie appiicants was ! were a resident of
Indiana and owner of the afwementioned property on March 1. 20
SigriaWre(mmersfidlname) � �
Date (monfh. daY•Y��
1
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Pason aulhorized by duy enE
Atldrrss of auitnr¢ed persan
^(numCber and street ci(y stale. arM ZIY co/tl�e) ^ '
/ J �fYL� .u�LL7 �/V
ed Power of Altomey w by (C 61.1-12-.07
imber erM shceC aty, state, arM LP oode)
Dale (�fh, day, yea�
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