HomeMy WebLinkAboutMortgage_Meyer (19).P°'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
___ _ � FOR DEDUCTION FROM ASSESSED VALUATION � � � �
° ' � Slate Fum 43708 (RS � z-07)
�O �� Prasmbed by DepaM1ment of Local Govemment Finance
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iNSrnucnoNS: AUG ��� ��
To be filed in person or by mail wifh the CountyAuditor o7 the county where the property is bcated.
Fdmg Dates: 1) Real Properfy: During Ne 12 months before June 17 d the year tlre deduction is to be et(ective. ����/� �
2) Mobile Homes assessed under IC 61.7-7: Aelxreen January 15 and March 2 0( the year the deduc6on is�'�B++ec�w �
See reverse side la additional insWCtions and qualifications. Q
GIBSON COUNTY AUDITOR
Appicant (amer or mrrtracl6vyer - see resMcfims on reverse side) �
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a�a DisUid Key mimber / legal desaipUon Record numbei Page m�mber
� �-� -i ,yov-000.. 9�-oaS �DO3 35a�
Assesxed ralue o� real papaty as of March 1, artenl ye�ar MMgage / ConNact indebtedness unpaid as of March 1, Is Ihe applipnt Ihe sde legal w equitade ovmeR
artent year� � O O O� ❑ Yes ❑ No
Y,�\hal is his I F�er e:act share oi interesl? If wmed with somerne dher Ihan spouse, indiwte willi whom.
If name m
applicant indiple below.
Name of morigagee or conUact seller�n<C-G�L�
Address of moAgagee or mnUact seller (n�mbu a s6ee1, tity, sl
Name af asvgriee a aU�er owner m holder of mMgege
Address o� ass9nee (mm�bei and sGee; dty. slate. and LP mde)
Dces applicaN a.m property in anY dher If yes. whx
cwnry in Indiara?
❑Yes ❑ No
Oeduction appmved in the amounl of:
2b� 20_ 20_
aM ZI � e)
What
i: u,e aaxm �� q�rac«,:
❑ Real Property ❑ Mobile Hrnrie QC Crt.
�7 �EC_ /v /'L �Q7 �%' � �O� 0
Drawer NO. ���...�aZd
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� 350, Gt�. o0
C�4�1:1�/1� � • •�
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20
20
Oate
20
�Y
INo
1/ We certify under the penalry of perjury that ihe above and foregoing infomiation is W e and correG and that fhe applicants was f were a resident of
Indiana and owner oi the aforementioned property on March 7, 20
iress of applicaM (num6e� and sLaet cAy. sfafa. and Z!P �
3 F �oas �f.�
� by duly exeated Powet of Altarrey ar by IC G7.1-12- i
Pddress of aulhor¢ed pelson (number aM s6eet dty, state, aM ZIP code)
Da�e (�rw�lh, day, yea�
Oate (monN, day, yea�