HomeMy WebLinkAboutMortgage_Parker (4)`°rt� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
`-'- : FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Ye:
�. � / S�ale FOrtn 43709 (Rd ! 10-01) . � - '��'"'S1 �
� PrexriEed Dy Department of Local Govemmeni Finance ��� �j'�
� t1L i
wsrRUCnoNS: MAR 2 �;i�p�
To be filed in person or 6y mail wifh the County Auditor of the county where the property is focated-� //
Filing Dates: 1) Real Property: Dunng the 12 months be/ore May 11 of the year the deduction is �� be effectivel 'j1 /7
2) Mobile Homes assessed under IC 6-1.1J: Behveen January 15 and March 31 o/'theyear-t� dBd�cdOn-is.t�be e�flectiw
� ° GIBSON COUfJTY AUp170R �
See 2verse side lo� additional instiuctions and qualificalions.
contract buyer - see restnctions on reverse side)
Taxing �istrid Key number / �egal description
'�t, Bra h �l� ' D � I-- �D 8i2 -D�
�
Assessed value of real property as of
March t, current year
If�no, what is his / her exact share of
If name on
Record number
� ���Q 2
Page number
Mohgage / ContreU indebtedness unpaid as of Is lhe applicant the� ole legal or equitz
March 1, current year owneR [9"Yes ❑ No
'�.�2 SO 0
If owned with someone other than spouse, indicate with whom.
that of applicant,
Name of mortgagee or contred seller
Zn-t�P� hA �G( �k J�( , �
Address of morS�agee or contrad seller (number
rvame or assignee or
Address
1 ll�-N � WO.o.ti v!—.') b! I
(} s the property in question:
Q/} '" �/ 7 ❑ Real Property ❑ Mobile Home pC &7.'
street, city, sfate, ZIP
owner or noiaer oT mongage
srreer, ary, stare, ur code)
Does applicant own property in any other If yes, what counry?
county in Indiana?
What Taxing Distrid? Has this dedudion been requested or
property for wrtent year? � Yes � N
COUNTY AUDITOR
Deduction approved in the amount of:
20 �_ 20 � 20 / l i" 20 G(n 20 �� 20
� � P
Signature County Auditor Dat
20
�-
I/ We certify under the penalty of perjury lhat the above and foregoing information is true and correct and that the applicanis was / were
a resident of Indiana and owner of the aforementioned property on March 1, 20
iignatu� (owners full name) Person authorized by duly executed Power of Attorney
/�� �7�c,� �l�'�i o� by ic s-i.�-iz-.o� ,
�ull resident address of appl�wnl Address of authorized person
� � 2D/
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