HomeMy WebLinkAboutMortgage_Wilder.+"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
Slate Fortn 43709 (R8 / 2-07)
�' ..� � Presaibed by Departmmt of Loca� Govemment Finance �
INSTRUCTIONS:
To be lled in person or by mad wdh the CountyAuditor o/ fhe courrty wiiere the property is located. J U L 1 O 1011 �
Fding Dates: 1) Real Pmper(y.� Dunng the 12 months before June 77 olthe year fhe deduc6on is to be e8ective.
2) Mobde Homes assessed under IC 6-1.1-7: Behveen January 15 and March 2 of fhe year the deduction is fo be eflective.
See reverse side fa additional insWcGOns arrd qualifications. '—y�;� ��
O'�
(ownaror
GIBSON
� K num0e�llegaltlesrn n ^� ��y�� �°��""'•"°,' �
�6-19-��- !- bob 7,b� �� �:�
af real popelly as of Marrh 1. amenl ymr MMgage / Contr�a7ct indeNedness unpaid as of March 1, Is lhe appGfant Ihe sole legal n equifable ovme%+
wRent Yea T ^ � / . � �
v
� � `� ❑ Yes ❑ No
: I her exacl share ol irrteresl? If owned wifh someane Wher iF�an spouse. intlicate wilh whom.
Ii rame m record is d'Aterent Nan �h
Name of nartgagee orconVacl s�
Address of morlgagce or oonUaa
Name of asvgrree or dher owner �
nda�ess or �synee t�ne. a�.
Dces applicant am prope�y in arry
caunly in Indarial '
❑ Yes �
Dedudion appmved in �he amount <
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Audifnr
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Is �he praperty in Quwtion:
❑ Real Property ❑ MoWle Home
Has 118s deduction been
fa wrrent yea/.�
20
,ested on poperty
❑ Yes ❑ No
Date (month. day, yea�
20
I/ We certify under Ihe penal� .....a.,.+�*��veair�c6rrCCt and that tlie applinnis was / were a resident of
Indiana and owner of fhe aforemen oned property on March 1, 20�
�_......., i....,..e.t nar,.e,.n� Date (monih, daY. y��
applitanl (numbe� dnd Sheet cily. sfate. aiM Lli'W
,it/ C�iurch S�
dy exeated Power af PltomeY a by IC 61.1-12-.07
person (n�mberaridsbeeL�Y.sfate.
�
Date (rtimN, day.