HomeMy WebLinkAboutMortgage_LoydSTATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
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� PresaiEed Oy Departrrent o! Lo�l Govemment finance
INSTRUCTIONS: '1� � � �a�
To be filed in person or 6y mail with the County Auditor o/ the county where the propeRy is locat �d. �� �
Filing Dates: 1) Real Property: Dunng the 12 months betore May 11 of fhe year the deduction is to be effectJveJ
2) Mo6ile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0� t A UyGa �the Z�d�uktron is to be elfective.
See reverse side (or additional instn�ctions and qual�cations. � b
(owner or contrdct
Taxing Dist� /��
Assessed value of real property as of
MarcFi 1, wrrent year
If �io, what is his / her exact share of interest?
name on record is different than that of
of mortgagee or contrad seller
GIBSON
y�umber / le a�escription Record num
-0� � 039� .3a9-0/�
b/ b_ a o3 o g.�a Page numbE
Mortgage / Contrad indebtedness unpaid as of Is the a
March 1, current year owne(?
/SODD
If owned with someone other than sp
Address of mortgagee or contrad seller (number
indicate below:
st2et, c?ty, sfate, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (number and sGeet, city, sfafe, ZIP code)
Does applicai - -- _.`° ��.,e�_what counry?
�
county in Ind'
Dra�ver i\'O.. a�p...
�
.� .
Signature
What Taxing Distnd?
Card ��ip. `��5 )UNTYAUDITOR
6Pcf tk,�o��.Jg,�
� I SCCt:. cty
zo �_ zo � z�o �� �zo
� � f I
County Auditor
Is the pr
❑ Real
�
t the sole legal or
❑ Yes ❑ No
indicate with whom.
❑ Mobile Home (IC 61.1-
Has this deCuclion been requested on
property for� current yeaR �] Yes � No
zo
Dale
�
Ve certify under the penalty of perjury that the above and foregoing infortnation is lrue and corzect and ihat the applicants was / were
�sident of Indiana and owner of the aforementioned property on MarcFi 1, 20
at re (owners /ull name) Person authorized by duly execuled Power of Attomey
'� �� : or by IC 6-1.1-12-.07
resident address of applicant Address of authorized person
� �oZ . 5-ree nnAr� RD.