HomeMy WebLinkAboutMortgage_Ramsey (3)"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION �.' '�
s�e F«m aa�os �rta r zo» � a -�
� `� Pratrn'bed q DePartment d l.ocal Goremmmt Firence �� ;� ���
MM .ff'
iNSrnucnoNS: Jf�k �^ad` 2009
To be filed in person or by mad with the Cou�rtyAuditor o� the cou�rty where the property is bcated.
F7'vig Dates: i) Real Property: Dunng tha 12 rtronths be/ore June 71 of fhe year the deduction is fo be ef/ective. �
2) Mo6iie Homes assessed under IC 61.1-7: Behveen January 15 and March 2 of Me year the deduc6on is to 6e�fiectire.,�
See reverse side /a edditional insWCtions and qualificafions. Q
n GIBSON COUNTY AUDITOR
,�, ,
M real piapttly as
If i�mat is his / har ezad
�. � �
;[o0 2 I `1oSy
� 1. Is �he �ont Ihe sde legal a equitahle wmeR
❑ Yes ❑ No
mmeone W�er Ihan spouse. indiwte wiih whom.
propeM1y in questim:
al Property ❑ Mobiie Harie
4efe, and ZIP wtle)
Ifyes.whalcounl�! 1 /1 O �(�"I� ��Q�/ �w/ �eenrequesledonpoperty
1 li 1 }/r.
1'� )� �� ❑ Yes ❑ No
L� �
� �00��`�`��
� � �aoo _ Zo
�%����
� nN, tlay, yea�
I I We certify under ihe penalry of perjury ihat ihe above and foregoing infomiatbn is true and correct ana ub� �F arr....._..� was / were a resident of
IrLdiana and owner of tlie aforementioned properly on March 7, 20 _
addrass of applicaM
S
Power of Attaney w by IC G1.1-12-.07
Address of auUqr¢ed person (number arrd stree( tily, s(afe. aiM
Date (month. daY. Y��)
Dale (rrimfh. day, yea�