HomeMy WebLinkAboutMortgage_Hardinii � 1 STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
� FOR DEDUCTION FROM ASSESSED VALUATION
r
� N� / State Fortn 43709 (R6 / SO6)
Presaibed by Department of Loral Govemment Finance
INSTRUCTIONS:
To be filed in person or 6y mail with the CountyAuditor of the county where the property is located. .
Filing Dates: 1J Real Property: During the 12 months befoie June I1 0( the yea� the deduclion is to b��ct�c{) 2007
2) Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and Maroh 2 of the year the deducG'on is to be effective.
See reverse side for additional insfrucfions and qualifications. �� ,Q�
�
GIBSON COUNTY qUDl7na
or coRracf buyer -�ee resMc�bns on rev�r�e side) �
Key numbc�r / legal description
number
l���I ��� , O� g� - Page number �
CX
Assessed value of real property as of MoAgage / Contrad indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, currenf year March 1, currenl year ' ownef? ❑ Yes ❑ No '
�� �
If no, what is his / her exad share of interest? • If owned with someone olher than spouse, indicate with whom.
name on record is different than that of applicant,
mortgagee or contraG seller
af mortgagee or wntrad seller (number and
of assignee or other owner ar holder �f ^�_'-
(num6er and
Does appNcant own property in any
county in Indiana?
Deduction approved in the amount of:
20 (1 d
�
Signature
below:
ciry, state,
Dra�ver NO•���'........
C8Y(�� ���':��� ........
�(�
20 U�r" _ I 20
�
COUNTY AUDITOR
20
County Auditor
20
ft
listrid?
Is the pi
❑ Real
❑ Mobile Home QC &1.1-�
Has lhis deduction been requested on
property for curtent yeaR � Yes� No
20
Date
C��
certify under the penalty of perjury that the above and foregoing information is true and correcl and that the applicants was / were
lent of Indiana and owner of the aforemenlioned property on March 1, 20
rrs full na )
dress of applicant
' cCIS/t /LS
Person authorized by duty exewted Power of Attomey
or by IC 6-1.1-12-.07
Address of aulhorized person