HomeMy WebLinkAboutMortgage_Hoffman.� °"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_� FOR DEDUCTION FROM ASSESSED VALUATION
. swe F«m as�os �rze i zo» y
S,,,, � Prasoibed by Departmenl of Lnd Govemmenl Finance j� �
. , Madcl ,�y
INSTRUCTIONS:
To be hled in person o� by mad wifh fhe CourttyAuditor of the couirty wheie the property is bcated. �A N 2 Y
Fding Dates: 1) Real Property: Dunng the 72 months before June 11 W the }rear the deduction is fo be etFective. 2�09
2) Mobde Hames assessed urrder IC 61.7-7: Behveen January 75 end March 2 0! Ne year the deduction is to be el/ective.
See 2verse side for additional insWc6ons and qualifications. .—y„ �,
Ta�ung
e re "�wWpn" s m reverse side)
d `1r; Ct/u-e
Key number I iegal desaip6oi
. o . oo -�.
Atmssetl ralue of 2al popaty as of Mardi 1. arrenl year MMgage / ConVaQ i�eblec
airtent year
L
If t is his / her exaG share of i,rierest?
tf rrame m remrd is dAfereN than Ihal of applicanl, intlipte belwr.
Nartre of ma�ga or �
O
Address ot mor� . ce�r mntraa IeI (rwmberand sbee4 aty. sfafe. arN LP oode)
o.vner u holder of mortgage
as of March 1,
If awned with mmeone dher
GIBSON
Record
a�
Is Ihe appGnnlO
spouse,irWicale�
❑Yes ❑ No
property in questim:
al Pioperty ❑ Mobile Home QC 6-1.
lll':111'G' �'Q..�.�...,.
Address ot assignee (mm�6er aiM sheet, ctity. slate, and ZIP code)
Car(I1\'O. �Dy�%
. . . . . . . . . . . . . . . . . . . . �� wav�r
Does spplicant own property in arry ofher If yas, what camryl Whal Ta� ��
m,NV N ��aara� � �.�ll 7• 3� . ❑ No
❑Yes ❑ No