HomeMy WebLinkAboutMortgage_Teeters e _ : STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
fi FOR DEDUCTION FROM ASSESSED VALUATION -
Prenaibed b4:7:43
entof Lod Government France (^'�
INSTRUCTIONS: .
Tb be filed in person or by mad with the County Auditor or County Recorder of the county where the property is located. filed with:
DE. �p�4Ty
Filing Dates: 1) Real Properly Must rile during the year for which the deduction is sought n Auditor
2)Mobile March Manufactured 1 of a each year not assessed n i as Real Property:Must file during the fweNe(12)months
before March 31 of each year the deduction is sought. - fdY Recorder
See reverse side for additional instructions and qualifications.
{,.�e � CARSON COUNTY AuD11 OR
�' 1 (owner or contract buyer(— `t- reverse side) ,p ', l to a
'Taxing U/ yl-c.0-�/iJ number
Pia I legal O d. S Q - °(I- o00. 8/-g.i.3 /-/O /5)R d�O (O P a,99 )_-/
Assessed value of real properly as of =age I Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the apprrant the sole
March 1:anent year Mardi 1.aurent year date a(appGcatrm� legal a equibble owner?
(Q 7/ / 8 ❑ Yes ❑ No
It no,what Is his/her exact share of interest? If awned with someone other than spouse,Indicate with whom
If name on record is different than that of applicant,indicate bebw. RE property in question:Annually Assessed
Real Property ❑Annually Assessed 6-1.1-7)
Name of mortgagee or contract seller
oc Li) EN — __
Address of mortgagee or contract seller(number and street,city state,and ZIP code) -_._= _�...y.�
1QZIfJ C .
Name of assignee or other owner or holder of mortgage
Drawer NO <9010
AdOrns of assignee(number and street,dry,state,and ZIP code)
. ifr m b H - I - D 4 A c_., Q99 a
Does applicant own property in any other If yes,what county? - What Taxbg District Card NO.
county in Indiana? /�
❑ yes ❑ No `W 65) 184 00
COUNTY AUDITOR
Deducion approved in the amount of: -
20 20 20 20 20 20 20
Signaque d inty Au6tors � r County Date(rtmM,day,year)
fr�f�I/�L!2/,TJL.[--
I I We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner I contract buyer of the aforementioned property on date application is filed.
I� Signa (owlet's full ) A di"))
Date(month,day,year)
Y. Full F em address//�/of applicant number and street,dry,state,and[ZIP code)[,
I_ $era/ N Ise thlazgrn K) =CIA "1 7G-/D
Person authorized by duly executed Power of Attorney or by IC 6-11-12-0.7 Date(month,day,year)
Address of authorized person (number and street,city state.and ZIP rode)
STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Yea
_,_ FOR DEDUCTION FROM ASSESSED VALUATION
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�..,, a�naa ey oe�,�m or �om cwe�m F�ce
File taf�c
INSTRUCTIONS: F� A� �:
To be Red in person w by mad xith the County Auditor w Counry Rewrder o� Ne county where the pmperty is lacated.
FiNng Dates: 7J Real PropeRy: Must fila durirg Ne year lor which !he deduclion is snught � �f 1� ��ry Aud'Anr
2J Mobile / Manutactured Homes not assessed as Real Property Must file dur'vz7 fhe hveNe (72) moriMs � ��, Remder
6efora March 37 o/each year the deduction a saqht
See reverse side (or additional instructbns and qualifications.
A�N sowrer orcontraC 6uy�r„ see � m reve+se siie �'Yj <�%�
/%i KiV�� C GIBSON COUNTY AUDITOR
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Mdrea ot rt�jagee w mntract sM
Name of aaignee or dher wmei w hdtl
AEEress of asdgnae (num6er aM sveeG
Doea appliwLL orn prope�ty in any ottw
couHy u� Ind'ana? r-i ..
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tetltre55 unGa� 85 of MMgage / Contraa'u�Ce6tetlness unOaM as af 191M �t tlx sob
date d eppY�tion kpal ar epuPade wmM
� ❑ Yes ❑ No
If awned with saneore dher tl�an spa+se. mSicaU w11A w1w�- .-_
�C tr�0iwm helor-
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� and street tdy, sfate. eM LP mde)
ortgage
ate, ard LP ootle) � M O
rc yes. what munt�t
No
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� � � � Yes ❑ No