HomeMy WebLinkAboutMortgage_Wright (2).+.°'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
,�,... _; FOR DEDUCTION FROM ASSESSED VALUATION � ��
� Stale Fpm 43709 (R8l 2-07)
�° � � Presa�bed by Depanment of Loral Govemment firance
INSTRUCTIONS: �
AUGF2e0 2008
To be filed in person o� by mad wrth the CountyAuditoi o7 the wunfy where the property is bcated.
Fding Dates: i) Real Properly Dunng the 72 months be%re June 17 of tha year the deduction is to be ellecfive.
2) Mobiia Homes assessed underlC 6-7.7-7: Behveen January 15 and March 2 0l the year the deduction is t�gffectiyg
See reverse side (a eddilional insWCtiqns ard qualifications. `�� '�
� GIBSON COUNTV���g�
Applicant (own contracf b�ryer - see m reverse sde)/ —�
propaty as
.vhat is his / her exaG share af in�eresl?
If rame m record is tli(feiai� Nan thal of appliraM, indiote
Name of mortgagee or conlracl
Address of rtpM1gagce w mnlra�Y seller (number arM �ty, stale.
Name of assgnee a alher awrur or hddet of mortgage
Address of assgnee (mun6u aiM sLeef, tity. Nafe, aiM ZIP mde)
Dces applicanl wm property in am/ dher
cwrrty in Indiana?
❑Yes ❑ No
Oeduction approved in the amoum of:
ii�=����
iiWeWedness
....._._h 1, Is ihe appflpnt Iha
�
;omeane Ml�er �han spouse, indicate wi1
❑Yes ❑ No
�e property in quesGm:
Real Property ❑ Mobile Hame QC G7.
yes. what coun�y7 Whal Tacing [ i X 3 �7e��y
DrawerNO.����a�'v )No
�
)UNTY AUDITOR , , ... ......
, ardNOi•ak�%�)Oaa"°
�—�„ � ��zU � 20_
Date (rtanlh, day, yea�
I/ We certify under Ihe penalry of perjury that fhe above and foregoing infwmation is true and corred and Uiat the applicants was I were a resident of
Indiana and owner of fhe aforementioned property on March 1, 20
vuWr w e/shdl�rteef Da�e(rtan(h,daY.Yea�
address of �fiplicant (nurrtber an0 stree4 city. sfate, antl LP mtle)
� � Person aulhor¢ed bY Ouy ezewled
w
Atldress of aulhoraed peisa� (num6e� arrd sheef, dfy. stale, and ZIP mde)
Date (monN, tlay. yeaQ
�