HomeMy WebLinkAboutMortgage_Oxley.w�"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
Y FOR DEDUCTION FROM ASSESSED VALUATION
1•, �� Stale Fwm 43709 (R8 / 2-07)
�� - •� Resaibed by Department of Laral Govemmenl Finance
INSTRUCTIONS:
DEC 3F�62�18
To be filed in person or by mad wdh the CountyAUditor olthe county where fhe property is located. -
Fding Dates: 1) Real Properly: During the 12 months be/ae June 71 0/ fhe year the deducUon is to be eReclive. �y��
2J Mobile Homes assessed under IC 6-7.7-7: Between January 75 and March 2 0/ the year the deduction �tb"bB�Jf �
See reverse side fa edditional insWCtions and qualifications. �/
GIBSON COU^1TY AUDITOR
Applicaq4jowner or wnlraq buyer - see strjcGons m rpverse siqe) �
Key nupitkr I
„ -�. � ��- -, - �.,� -�
of real propaty as af March 1, cunent ye'ar Akutpage I ConUaC
anenl year �
If ro, what is his / her enacl share
on
of mortoaaea or conUaG seller
Address of mortgagee a oonllad seller (number aM sYreet: o'ty, sfefe.
Name af assignee a oNer owrrer or
applican� own pioperty in arry other
ry in Indiana?
❑Yes ❑ No
ction apprwed in the amount of:
20 C� 20 _
sfate, a�MZlPoode)
Ii yes, whet caunry7
20 _
)� I•4�G
unpaid as of March 7,
COUNTY AUDITOR
someone
Is Ihe
spouse, irWicate wiih whom.
w eq�ivae o«ner
❑Yes ❑ No
Is e properry in question:
Real Procertv ❑ Mobile Home (IC 61.1
08- �y�3
oK�Ey s�a��
�'PNAu�
20 _ 20
Caunry
20
�aeM
�� No
i.�
� I We certify under the penalty of perjury that the above and foregoing information is We and correct and that tlie applirants was I were a resident ot
Indiana and owner of fhe aforemenGrned Droperty on March 1, 20
� I��y�w
X es
Person
ot applicant (number
by duly exewted
city. state. aM ZIP mde)
a
person (numberantl streef. ctiy. sfate, aM ZIP oode)