HomeMy WebLinkAboutMortgage_Gentry.r "'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS T i Year
_� FOR DEDUCTION FROM ASSESSED VALUATION
� Slale Fartn 43709IR8 / 2-07) J
�' ��•O Resmbed by Department d Local Govemment Finance
.m
JUL 6���08
wsrnucnoNS:
To 6e filed in person or by mad wrth the CountyAuditor o(the county wheie the properfy is located.
Fding Dates: 1) Real Property: Dunng the 12 months be/we June 11 0! the year the deduc6on is to be etFective. �
2) Mobile Homes assessed under IC 6-7.7-7: Behveen January 15 and March 2 of fhe year the deducfion is o be e��cFive.�/ '
See reverse side !or additional insWctions aid qualificafions. GIBSON COUNTY AUDITOR
(ownerar
reverse side)
_ Key num6er/ legal tlescription � Reoortl number P number
(�- -�/ - /o0-p o• 7i� -v�� 0 �3
a( 2al popaty as d March 1. arrenl ygft Mw�ga9e / Co indebtedness u5n�paid as of March 1. Is Ihe appfiont Ihe sde legal w equilaWe or+�eR
� �rt��r IVD (iO� ❑Yes ❑No
; I her exacl share of inlerest? If wmed someone dher Ihan spouu. i�cate with wlwm.
m recad is diRgcrd than that of applicanl
Name oi nartgagee or arMac�
Address ot mortgagee a mnVad seller (number
or nda� or mm�e
of asvgnee (number arrd sfree{ dly, sfate, arW
Dces applican7 own praperty in any oNer
county in Indurial
❑Yes ❑ No
appioved in �he amount of:
, . ��
0
dty, stafe, aM ZIP code)
,�,
COUNTYAUDROR
_�
Caunry
I/ We certify under the penally of perjury that the above and foregoing infomiation is true
Indiana and owner of tlie aforemenboned property on March 1, 20
of applifant
by Ouy rxeaited
Address at aulhaaeC persan
streel. cify. nsfafe, aM Z/IP ca
o(`� ,(�/a+Lf�
d�orney or by IC G7.1-12-.07
:e4 aty, sfate, aiM ZlP ootle)
Is the property in question:
❑ Real Prpperty ❑ Mobile Home pC G7.1-7)
I�Ev� R �E,vT�y
J A�7 EI.A�
D �-338Co
Oate (month, day, yea�