HomeMy WebLinkAboutMortgage_Garrett (8).��•�, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coan Township Year
, - FOR DEDUCTION FROM ASSESSED VALUATION
. " ` State Portn 43709 (RB / 2-07�
•° y� � Presaibed bY Deparlment of Loral Govemmenl Finance f J
�NSrnucnoNS: AUG R���18
To be filed in person or by mail with the CounfyAudifor o7the county where the p/opeRy is brated.
Fding Dates: 7J Real Property: Dunng the 72 months be%re June 71 olthe year (he deducGon is to be efleclive. /�
2) Mobiie Homes assessed under IC 64.7-7: Befween January 15 and Maich 2 o/the year the deduction is c'tIG�
See ieverse side Iwaddifional instructions and qualifications. GIBSON COUNTY AUDITOR
Applicam(owneiar 6uyer-seerestri�i reversesde) �
,oroartv as of I arrh 1, aarent y�r
j ' _
ezact share af inlerest?
�e� w% /�OI �401—��3' •J�—�� Reao�d�m� P�U��'O
Mortgage / Contrad irMebled�ss unpaid as of A/arch 1, Is Ihe appfipnt the sole legal w equifable owneR
w�rent
I . � ��r1 ❑Yes ❑ No
If �me on recorE is diftereM Nan �hal of appliran4 ��ifate below:
Name of mortgagee or conNdcl seller
Atltlress of rtqM1ga9ee or wntraG seller (num6er and sVeet. dty. state.
Name of assignee a dher rnvner or hdder of mcutgage
Addrew of assignee (rnim6ei and street, city. s(ale, arM ZIP code)
Dces applicaM own property in any other If yes, wha� county?
couiriy in Ind"una?
❑ Yes ❑ No
��
I / We certify �
Indiana and ox
,riatura( ers h.
If wrt�etl with sort�eane other Ihan spouse. u+6cate wiN whom.
Is Ihe property in ques6on:
❑ Real Property ❑ Mobile Hwne (IC 61.
1
; this dedudion been requesled on pfaperty
arterrt yeaR
❑ Yes ❑ No
COUNTY AUDITOR
�2p _ I 20 20 20 20 20 _
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Dra��'e
infomiation is true and corred and that the applicants was I were a residenl of
CardN� �"...u�••p4 — Date(monfh.daY.Y�d
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Oate (monfh. day. yea�
duly exewletl Po-xer o7Attomey a tlj� IC frt.
Address of aultwr¢ed pasan (numbei anO streeG city. slafe,