HomeMy WebLinkAboutMortgage_Rexing (6).• °°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
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To be filed in person or by mad with fhe CourrtyAud'rtor d fhe cou�rty where the propeAy is located.
Fd'mg Dates: 1J Real Property: Dunng the 12 months be%re June 17 of fhe yeai the deduction is to be eRective. �Q N 1 6 2 QQ9
2) Mo6ile Hornas assessed under IC 6-1_ 7-7: Be(ween January 15 and March 2 of the year the deducGon is fo be el/ective.
See reverse side !a addibonal insbuctions and qualifirafions. �
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P,pqicaN mnlrad buyer- e re ' mreverse side)
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GIBSON COU�TY AUDITOR
N�
Pssesed ralue ot real P�P�Y az d MarU 1.
If � is his I her exact share d interest?
If reme m record is d'GtereM U�ar� Ihat of applicanl, i�c
Nartre M rmitgagee or conUad selle
AdOressofrtqr�gageeamnUactsdler numberand�
Name of assgnee ar aU�er w.'ner a holder of moNga�je
AEdress of as9gnee (nrrn6er and sGeel. tity, stale. and
Does appliraN wm prapertY in arry olher
caunry m Indiana?
❑Yes ❑No
Oeduction appmved in Ne
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- 7`"/ ' U d
7e r CorNaa ude6led�nejss unpaid as or March 7, Is Ihe �cant ade legal a equitahle r
� 'f3 Ql�p � � 3, g ❑ ves ❑ No
If wdh someaie olher ihan spouse. indiwte wi�h whom.
Is Ihe propeM1y in queslim:
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state.arrdLP el lll':l\\'CI' ��RW:�• �•••••••• •
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u yes, wnat cam!/+
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Ifa airtrnt yeaR
y'Y ❑Yes ❑No
COUNTYAUDROR
20 20 _ 20
Caunry
20 _ � 20
tlay. yea�
I! We certify under the penally oi perjury tliat the above and foregoing information is We and correct and that the appli�ants was / were a resident of
Indwia and owner of fhe atorementioned property on March 1, 20
sig�t,ue (a.vne�s nn name) oate (monlh. dar. r��
o�r �i
Gy, state, and LP ootle)
Pamn aulFia¢ed by duy exeated Power of Pltortrey or by IC G1.1-12-.07 - I Date (mmlh. day, yea�
Adaress af auUoraed prr.,an (num6er eM street, cAy, state, aiM ZIP code)