HomeMy WebLinkAboutMortgage_Sheridan.� "•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS 7ownshi Year
f,, .. FOR DEDUCTION FROM ASSESSED VALUATION i
State Fortn 43709 (RB / 2-07)
•��iu. •� ��m� by Departmeni of Local Govemmen� Finarxe
INSTRUCTIONS:
JAN 0 ��g��
To be filed in person or by mail wdh the CountyAuditor o/ fhe county where the property is loceted. -
Filing Dates: 1) Real Property: Dunng the 72 monfhs be/ore June 17 o/the yearthe deduction is to be eflec6ve. �y
2) Mobile Homes assessed under IC 64. 7-7: Between January 75 and March 2 0/ the year the deduc6 �s o°�efl4c`tf 9�
See reverse side fw addifional instrucfions arM qualiFCafions. v
GIBSON COU�ITY AUDITOR
.4pplica �(o era� ntrad6vyer-s �m reverse.Ude)
�ng Distriq Key number legal de �ption RewN nu r Pa a mber
- -r - o: a aa-oa �
Pssessed value of real popaty as of Marrh 1, aurenl year Marigage I Contracl indeWetlness unpaitl as af March 1, Is ihe applimnl ihe sola legal a equiUde owneR
wnent ye
� � � � , (j]�}'� ❑ Yes ❑ No
is his / her exacl share of iMe2st1
If name on record is difFerent �han �hal of applicant, intlirale beloa:
of mortgagee or contraU seller
ot rtqrtgagce w mnUad seller (num6u and sb
asvgnee « a�her o.vner w hdtle� d mortpage
Address of assignee (number ard sheef, city, s}ate, eM ZIP ootle)
Does applicanl own property in any other
counry in Ind'anal
❑Yes ❑ No
DeducGon apprwed in the amount i
���1� ''�
I! We certify under the penalty o1
Indiana and owner of the aforeme
�
(number e
persan (numberandsL
II o.med wM wmeone olher than spouu, indicate wilh whom.
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Is �he property in question:
❑ Real Pmperty ❑ Mobile Home (IC 61.
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requested on properry
❑Yes ❑ No
20 _
a resident of
Date (monN, Cay, yes�