HomeMy WebLinkAboutMortgage_Anderson (9)^�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
= FOR DEDUCTION FROM ASSESSED VALUATION
:• _-- ' suce ron,� aa�os �rti i i 6-os)
�' Preuribetl by �epartmenl of LoW Govemment Finance
°" File Mark
INSTRUCTIONS: F� m�
To be filed in person w by maB wifh the County Audifor or Counry Recnrder of Ne county where the pmperty is located.
Fiimg Dates: 1J Real Pmperty: Must file during the year /or which Ne deduction is sought.
2) Ab6de /Manufectured Homes not assessed as Real Pmperty Must file dunng the hveNe (12J monfhs ❑ C
6efo�e Ma�ch 37 of each year the deduction is sought.
See 2verse side toradditional instructions and qual�ca(ions. GIBSO�
Ta�dng Oistrict / K 1��+�M�+I
� ���
assessea �aa,e d� v�a�r � m n
�Wdi 1. amaY year �
rc m. what a na r ner e�ae sl,are or lnteasn
If rame on recortl is 6Rern�� than Nat ot aPplitant.
Name W matgagee ar mnbaG seller
)� -000, �.?'1 �
'uiCebtednrss unpaid as U Mork�age I Contra
Address of mort9agce w contrad seAer (numbu end stree{ �i(y, state, ard LP code)
Name of assignea w othe+ownet or holder of rtqrtgage
street �: state,
soniearie
Record
as d Is Vie applirant Me sole
legal a ewirade owne(�
❑ Yes ❑ No
wilh �vhom
Is Cx property in Questian: MnuaOy AssesseE
❑ Real Property Q Mnually ASSessed
Oces appli2nt ovm pnperty in any oNer I( yes, whal munty7 Whal Tari'g D'atric[? Has Nis deduGion bern requeSteE m propetty
munry in Indiaria? n v� n u fw arreM yeaR ❑ Yes ❑ No