HomeMy WebLinkAboutMortgage_Reavis"'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ - FOR DEDUCTION FROM ASSESSED VALUATION
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uvsrRUCnoNS:
Form f0ed wkh:
To be filed in person w by mail with the Counry Auditor or Counry Recnrder of the counry where the pmperty is bcated. (L T 1 5 2009
Filirg Dates: i) Real Property Musf file durirg the year for which !he deduction is soughG �� Counry Audiiur
2) Mo6Be / Manufactured Homes rwt assessed as Real Property Must file dunng the nveNe (72) months
6efore March 37 of each year Ne deduction is sought. ❑ Cou^ry Recorder
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See reverse side for addifional inshuctions arM quali�catio�. ' 0 (/
Apa (q �wmnqactDUyer-seere/j'rb'msmreversa � GIBSON CO �` "�'��
ed vdue oF inal pfoperty as of
1, arrent yeN
tt no. what Is his l lrer exad share o! interest?
_:_.ao-�� a -Ga�
/ Contract inde6tedness unpaiE as af Mortgage I
airtent yeer date of app
If name on remd is dAterent tlian Wt of aPp�'an; trWifate Eebw:
rlarrre ot rtaneagee «m,vaa seue,
w mntrad
avmer
sbfe. aM LP cade)
(number eM stree4 �1: �te, and LP catle)
Ooes app(�nt ovm properry in a�ry other I If yc
counry in IMiana?
❑ Yes ❑ No
Deduction approueA in ihe
2� _
Signanne W Caunb P�ud'ncr
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someone
Drai�•�1.��,0 ,. a __ p-
�'a�•d 1�'� . 00'7
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I I We cer4ty under the penalry of perjury that the above arW foregoing infortnation is we and corre�....
owner I contract buyer of the afaementioned property on date appliratlon is filed.
Pddress W author'¢ed person (numDer aM s'reet, ci(y, slate, anC
Reco(d number Page numbel
�
ness unpaid as d Is Ne appikant Me sale
legal w equilaNe awnM
❑ Yes ❑ No
ise. iMicate wNh wham
ie pioperty in O�o^: �nuaajASSessed
Re� aroPe�ty ❑ a,�wany a�d
n.io�ie r�ome nc ��.�-�
Mas Na dedw2im Eeen reVUested on property
tm arrent YeaR ❑ Yes
❑ Ni
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Date (momh. daY Y��
ie applipnt is a resident ot Indana a�
oa+P (�,m, dar, rea.�
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oate (,rionu�. dar.,ean