HomeMy WebLinkAboutMortgage_Overton� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS n Township Yeai
_ FOR DEDUCTION FROM ASSESSED VALUATION
s� r�,,, as�os ca�i i s as� -i
S PresaiDad Ey Departmerk of Lod GovemmeM Finarice
File Mark
INSTRUCTIONS: A
ed wi
To be fiied in person or 6y mail with the County Aud'Rw or Counry Reco�der o/ the counry where the property is located.
Filing Dates: 7J Real Property: Must fite dunrg Ne year for which Ihe deduction is soughL County Auditur
2) Mo6de / Manufactu2d Homes not essessed as Real PmpeRy Must file dunng the tweHe (12) months `
before MarM 37 oleach yoar the deduUion is swght. � R��
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See reverse side foredditional instructfons and qualfications. GIBSON COUNTY AUDITOR
A�essed rdhie d mal p�operty a of
A/aU1 1. anmt year
I( ro. what fs ttis / her erar2 shara of interestl
If `ame an femd'a drtleren� tlun Nat
uut'�3:
"^' a,� �F/ � �' 1� Y/ �� a� neco n r ^
O�
Abr�page! Contraa' ness unpaid as of Mortgage I Cantrecl c�0ehtedness unpaid a d Is Me epp0�ant Ne w�e
March 1, J� data o( eppGtation lega� a eWitable ovrtieYl
. D �/ ❑ Yes ❑ No
H aa�ne0 wiN someone ottmr Can spouse. cdi�te xirti wl�om
i
. QIOitl� EEW W. IS M1E �lOp2M1Y YI G�1: M�U20Y P35255GC
� Real PrUPeRY Q M^uall)'0.sse�d
ACdress of nnrtga9e� ar mntraa seder (nuMer and straeG �JC sbm. arW ZIP code)
Name of assignee w dher ovmer
PdE�ass N assi9�ce (numOer aM saeeG mY• �,
any
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sqnseue m camry aiertor
I/ We rt�fv uMer Ue
D���;,����.io. aRl:�........
No ^� ( � �
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Yes
p— I p
ox�e t�. �r.
No
of perjury that the ahove and foregoing mtomiaUon is W e aiW correct arW thai the appli�ant is a resident of IMiana ard
a�ementirned roperty on date apPliption is filed.
/ Date (monfh, daY. Y�erl
w �y IC 6t.7-12-0.7
Addicss o! aWVVe� 7� (numDer arM sDee[ �y. s+ate.
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