HomeMy WebLinkAboutMortgage_Hopster'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year-
FOR DEDUCTION FROM ASSESSED VALUATION
s�e F� aa�oe �ras i zo�>
�' ..» f Prescnbed by DeParUnent W Local Govemmeirt Fi�rxe
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INSTRUCTIONS:
Fding D� s�Real Pro� Du g th�2 months befine Ju�ne�of he yea t he d� luceon '�,s o be e/fective. NOV 0 6�p08
2) Mobik Homes assessed under IC 6-7_ 7-7: Behveen January 15 and March 2 0! the year the deductirn is to be e8ective.
See reverse side /a additional insWCtions arM qualifica(ions. „�n� /f !/_ _. �
ti, n �,
npqicam(amerorcon buyer-seere - m rsesde) COUNTY AUU���^
O GIBSON
T'rg DisUid Key rwmhw I Ix�i �..� ' Reoord number Page m�mber
ac�- $=�4-3oc�-000.�qi-oa�" �
Pssessed ralue M 2al propsly as of Mardi 1. aarerH year Mortgage I n4act iMebledness unpaid as of Marcn -i. Is Ihe applitanl Ihe sde legal w equilable o.vne(7
aR�,�,� O �[ DD�
❑Yes ❑No
�what is his / her exad share af interest? � If v�vnetl wilh somerne dher Ihan spouse. indiwle with whom.
�If reme m remrtl is d'Aferent ihan ihat of applicarit, indi�ate below: ` Is 1he propeM1y in quesUon:
❑ Real Pioperty ❑ Mobile Harie (IC 61.1-7)
Name of mor�gagee or wnUact seller
Addr�s of moAgagee w mntraa seller (number arM s6ceC dty. sfate, ard R1P oode)
Nartre of assignee a alher awrrer or holdet of mort.gage �
Aadress M assignee (number arM sfreel. c_� __� � . _
. . , �p. . [�0/!�
7'� � ��'eY'NO��•-
Does epplican� awn paperty in arry dher y> r`s: 'd?
counly in Indiana? ' "
❑Yes ❑ No ' i.. ' .
Card NO .................... _
Deduclion approved in Ne amount of: 's� `�%�if� �/�� ✓/� 00 _
����
��j��L
I/ We certiy under�penairy of
Indiana and owner e afo�emE
arrmt
2p I 20 � 20 I 20
Date
�.lestetl on prop�+ty
❑ Yes ❑ No
20
� ✓v�-`+�v� � � �—vU -CX�
Uiat ihe above and fwegoing infortnation is true and correct and Ihat the appliranis was / were a resident of
property on March 1, 20
Dale (month, day, yeen
aty, s(ate. aiM ZIP wde)
�� ��� (-C) v�C�U S �DY+- {�yanll�,
Person autha¢ed by duN ��� Power of AttmHry d by IC 61.7-12-.07
AEtlress ot aulhor¢ed persa� (nwnber arM sGeet, tity, state, and LP wde)