HomeMy WebLinkAboutMortgage_Adkinsa� "'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTED�� Co Township Year
1, ... _
� FOR DEDUCTION FROM ASSESSED VALUATION
� S1ata Fam 4 (R8l 2O7)
�O ;,,. � Presaibed b rtrt�ent of Local ve meni Finance
/�� AUG 2 S 2008 File Mark
INSTRUCT/ONS: u/ � � �- � ���
To be filed in person or by mai�wdh the CountyAudit ol the county wh re e property is located.
Fding Dates: 1) Real Property Dunng lhe 72 months be/ore June 17 0l fhe year the deduction is fo be e �Q
2) Mobiia Homes assessed under IC 6-7. 7-7: Behveen January 75 and March 2 ot fhe yea e d�icfion i 6e eflective.
See2versesideloraddi7ionaly�sNuctronsandqualifications. GIBSON COUNTY AUDITOR
Applicant(ownerormnv r ee c on eve sQ
isUict Keynumber/Iegaltlesaipti
�
Assessad vdue af reai pop rty as laich 7. qnent year Martg,
curter
�hal is his I ha ezaG share of interesl?
�
If �ame on record is differenl than Ihat of applican4 ��inte belaw:
Name of mon�agee or contract sdter
Address of mortgagee u mnlrad seller
Nartre of asegriee ar ather owrrer or
slrael.
sVee1, dty. slafe. arM ZIP mde)
Ucesaq
counry in q/,,�
— Drawer NO.�!�!�-.�6.��
number
n�-d/7 I �"
az af Martli 1, Is Ihe apptinnt the sde legal rn
❑ Yes ❑ No
If owned wiih someona dher Ihan spouse, indicate wi�h
Is Ihe propeM in question:
❑ Real P�operty ❑ Mobile Home QC 61.
Has Ihis deduGion been reQUested on poperty
r« a,rteni yeaR
❑ Yes ❑ No
�' ' � Card NO.
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�°- �i�� �5G Sa`� I� 20_ Zo Zo Zo_
r of dilor Cwnry Oate ( Ih ay.�am fOO
�j v
I I We certify under penalry o( perjury at ihe above and fwegoing informa6on is we and covect and ihat Ihe applicants was I were a residenl of
Indiana and owner oi the a(orementioned perty on March 1, 20
af
6y duty
state, arM ZIP aode)
w b� iC6�.�-t
persm (num6eraMStreel.dly.sfa(e,arMLPooDe)
Date (month, tlay.