HomeMy WebLinkAboutMortgage_Schmitt°°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION �- �,
s
_ s�xie r-o� aa�os �aa i zo�� n
�' f Resrnbed by �eGeMient of Local Go�emmenl Firence �—f �t�.
NM
iNSrnucnoNS:
F��e►`�'�` 2 1 2008
To be filed in person oi 6y mad with the CounlyAuditor W the county where fhe property is located.
Fd'o/g Dates: i) Rea/ Pmperty: During Ure 72 rtan�s be%re June il d the }rear the deduction is to be elfective.
2) Mobile Homes assessed under IC 6-7.1-7: Behvsen January 15 and Maich 2 0/ the year the deduction is to 6e efl� ,�
See reverse side (or additional insWc6ons ard quaGficafbns. �
/ � GIBSON CO(JIJTY A��nirnn
n
�aW�(� ��� .�7"�°"��� .,� .. _ . _ n �
af real ptopc.ty as
I I( ro whal is his / her e:ad
Ilf�on
or mMrxt seiler
Key rwmber
ndar�s or rtqAgagee ar m,o-aa selle,
Name of assgnee a altrer owner a hd
1 AtldrPSs
I Deduction
�
—�—
, i, anent Mo�ga9e � co
arteln year
asi?
applicaM, i�mle below:
R
wmber and stree; tity. s6te. an P a
� aT maAge]e
rity, siate, and ZIP oode)
pxn property in arry oNer � I If y
a?
❑ Yes ❑ No
oved in Ne amwn� of:
20 20
, ` ^ . �, r w � necyqint3qoer ra�� 1 �
YYl_ 1 V�a 1 l/ \%C
\.11.ia 1� •�.• \.J l.!
��Paw as or n��u, �, is �ne aaarm�� u�e sae i�ai « ey��aae wmen
� ❑Yes ❑No
med with sameane alher Uan spouse. indiwte wifh whom.
Is U�e property in questim:
❑ Real Propertv ❑ Mobile Hrnrie pC 61.
_ SC�m��� 3.A
` b 8-3�i g
__ — � - ..
:1.
„�� o� �
❑Yes ❑ No
20
� IrO� —V
I/ We cerU under the ty oi perjury t e above and foregoing information is We and correG and Iha[ tlie applicanfs was / were a resident of
Indiana and owner of ertientimed p on March 1, Nl
� re e wne� hAI namz) Da� (^�W. �Y• Y�7�y/
�� �/ 0 /
F er� address of appliranl (nwnber and streel. dty. ate. aM ZIP cn0e)
!cJ G 'vl �%7L?(,�s
erson aulFwrized by tluly ezewled Power af Atlu�rey w by IC 61.1-72-.07 Date (monN. day, yea�
Address af aultwrized persu� (numberaid sfinet, aty, stafe, a�M LP rotle)