HomeMy WebLinkAboutMortgage_Schutte°� STAIEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
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�° ,�„ � Presmbed by Deparlment d Loral Govemmenl Fi�nce
INSTRUCTIONS:
To be fiied in person w by mad with the CourttyAUditor o7 the couMy whera fhe properfy is locafed.
Fd'mg Dates: 1) Real Property: During the 12 months belore June 17 of the year the deduc6on is to be e8ective. Q C T 1 4 ZD �$
2) Mobi7e Hanes assessed urMer IC 6-1.1-7: Behveen January 15 and March 2 0l the year the deduc6on is to be effective.
See reverse side for addtional insWctions and qualifications. ._yH � �
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ed rdue d ma� popaty as of Mardi /, a�q year
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inme on �ecord is diRere(rt Ihan lhat of epplicanl,
Nama of mortgagee o� canUacl seller
I ConUaG uWebtedness unpaid as ol March 1.
Address of moNgagee or aontrad sdler (number arrd �ae(. tity. sfate. and ZIP tode)
Name of essignee a ather oxner or hdde� at mwtgage
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Does aPP�icaM am propertY in arry olher
couruy in Ind�are7
❑Yes ❑ No
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SignaWra of Counry Auditnr
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GIBSON COUNTY AUDITOR
R�r�s P���.y
Is Ihe appGCm�t Ilie sde legal « eq�ritaae amie/1
❑Yes ❑ No
spouse. in6cale wiih whom.
Is the poperty in questim:
❑ R�I ProoeM ❑ Mobile Hane (IC 61.
20
Dale
been requested on properly.
❑Yes ❑No
20 _
certify under ihe penalty of perjury that the above and foregoing information is We and mrtect and Uial tlie appticanis was I were a resident of
a and owner of fhe afwementimed property on March i, 2b _
af
by
s(ate.
IC 61.1-12-.07
(number arM s6cet d(y, sfate, aM
Data (mmm. eay yea�
(monN, tlay. yean