HomeMy WebLinkAboutMortgage_McDonald (3).t "'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
r4 .. .; FOR DEDUCTION FROM ASSESSED VALUATION
� Slate Fam 43709 (R8/ 2-07)
•O iii. �' Presrnbed Gf DePariment of Local Govemmenl Finance
ile
INSTRUCTIONS:
To be filed in person or by mai7 wfth the CountyAuditor o/ fhe county wheie fhe property is bcated.
Fding Dates: 1 J Real Property: During the 12 months be/afe June 17 of fhe yeai lhe deducGon is fo be eflecGve. � Q,� 008
2) Mobik Homes assessed under IC 64.7-7: 8ehveen January 15 and March 2 0( fhe year the deducGon is ele6cLv
See reverse side /w addifional ins6uctions and quali�cations.
Assessed relue af real popaty
- see ar re
Key number / lega
a
,��,,.a,�„��
share af interesl?
on recortl is diRerent U�an ihat of applican4 �ntlicale belaw:
Name of rtwrtgagee or conlraU seller
indeWedness unpaitl as of March 1
Address of rtqM1gagee w mnUad seller (number arM sYreet. dty, stafe. and ZIP code)
Nartre of aseg�e or alha owner or hdder of mortgage
Address oi assignee (rwmbrr aiM weet. dty. Aate, aM ZIP code)
Does applicaM wvn property in erry dher If yes.
courrty in Indara?
❑Yes ❑No
Oeduction appmved in the amount of:
If wmed wi�h someone
Te�ing Dis4ict?
COUNTYAUDROR
GIBSON COUNTY v
Remd nurr�er Page number
Is �he appGpnl lhe sde legal or equiUde ovma/
❑Yes �No
spouse. indicate wilh whom.
Is the propeM1y in question:
❑ Real Property ❑ Mobite I-lome QC G7.
Has Utis detluUion been requested on property
lor airtmt yeaR
❑Yes ❑ No
20� 20_ y 20_ 20_
Dra���er 10..�c�-,�/S � /
Wre o n� AuA or � Dale ( h, y, yea�
J ^y�
� - —O(J ^O�
I/ We certify nder the re ry of perjury tha[� C8 C(� 1 O . ..................... �at ihe applicants was I were a resident of
Indiana and owner of the a oremenboned proF
�na ers fidlname) Date (rtanfh. daY Y��)
�"�� ����
Iresdenl address of applican� (number and slreeL crty. slate, a�M ZIP oode) � _
� �03� S. �io l.,J, Uw-�,sJ���-e iN `111,�5
rson authwized by duy exewted Power of Attamey or by IC 61.7-12-.07 Oate (mon/h, day. yea�
Address of aullroraetl pe'son (numbeiaM streef, city. sfafe.