HomeMy WebLinkAboutMortgage_Gilpatrick.a °•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Tovmship Year
. FOR DEDUCTION FROM ASSESSED VALUATION
Slate fam 43709 (RB I 2-07) -
S w„ j Presmbed by Department d Local Govemment Finance
INSTRUCTIONS:
To be filed rn person or by mad with the CountyAuditor o/ the tounty whe2 tfre pmperty is located.
Fd'ag Dates: 7) Real Propeily.� Dunng the 12 rtronths before June 17 07 the year the deduction is to be e/feclive. (ViAi� � 1 ( U li 0
2J Mobde Homes assessed under IC 64.1-7: 8ehveen January 15 and March 2 0) fhe year the dedut6on is fo be eflec6ve.
See reverse side (w additional instructions arW qualifications. `�-j� _ /`
Applicarit (mvner or mrrLaa
aro- 1L
0.sassed value of 2al Prope�tY as of March 1. ar2nl Y� ��9a9
wtrenl )
I�hat is his I her euact share ot interasl?
If reme m rernrd is d'rfFerenl ihan tha� of applicanl, i�mte belox:
or mnUacl seller
�/o�-aoa. iss-oas
�ntracl in�d-7ebtednessyppyid as of March 1,
�/ C/ (JCJ
J (J
Addrws af moM1gagee or mnlract seller (numbu aiM sfrcel. aty, state. arH ZIP cnOe)
Nartre of asv9nee d Wier owmx or
Address of
matgage
Aafe. aM ZIP code)
��
GIBSON COUNTY AUDITOR
Remrtl n y�ben Fa9e/ / � �
� (J
Is �he app5fant Ihe sde legal w equiUde owr�e(7
❑Yes ❑ No
spouse, i�cate wiih whom.
Is Ihe properry in puestion:
❑ Real Procertv ❑ Mobile Home (IC G7.
pu¢s yPplicant own property in arry other If yes. whal county? What Ta�dng District? Has Uds deduclion been requested on property
courLLy n Indiana7 for artent yea/7
❑Yes ❑ No ❑Yes ❑ No