HomeMy WebLinkAboutMortgage_Pinkston.� °� STAIEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
FOR DEDUCTION FROM ASSESSED VALUATION � ��
State Form 43709 (RS / 2-07)
�� ���� r Presaibed by Department of Lacal Govemment Finance
rNSrnucnoNS: APR F�e�n�08
To be filed in person or by mad with the CountyAudifor o7 fAe cou�rty whera fhe pmperty is located.
FBing Dates: i) Real Pmperty: Dunng fhe 12 months belore June 11 0/ the year the deduc6on is to be elfec6ve. '—y�
2) Mobiie Homes assessed under IC 6-7.1-7: Behveen January 15 and March 2 0( the year the deduction is try'6&' L�
See reverse side (or additional ins6uctions and qualificafions. � �
GIBSON COUNTY AUDITOR
Appirant( erortotyractbuyer-se resUicUonson sde)
T' Di ' Keyrwmber/legaldr'aiption R `� ber Page
-a - Q�-OOa . �f �O D
Assc^sed value of 2al popaly as of March 1, anenl y�t Mw�gage / Can4ad indeWedness unptid as of March 1, Is �he appGcanl Ihe sole legal w equilada o.mel.+
anm� year
Yes ❑ No
1� -�rhat is his / Fier exacl share oF interest? If wned wAh wmeana dtier Uan spouu, ir�dira�e wiN whom.
if name m recortl is diRerent Ihan
Name af mortgagee or confraG
of rtartgagee a
of assignee or Ww� oaner or holder of mor�gage
Atldress of assigriee (number aiM sheet,
Dces applicant own property in arry dner
county in Ind'a�1
❑ Yes �No
Dedudion app�oved in Ue amount of:
�
SigraWre ot Counry Audilor
zo
C �
eet � /
ZIP aode)
If yes, wh�
�
1�
,I—s ,ILhe7 properiy in question:
qrxeal Pmperty ❑ Mobile Hare pC 61.1-7)
D Fi- �° 7 2 c-.-�-°,,�a�
[/� 0� �/i�+V� I
` -M
.� �.
Counry
iedudion been requested on property
n yean
❑ Yes ❑ No
`/ i y. zo � 20
daY. Y��
I! We certify under the penalry of perjury tliat ihe above and fwegoing infwrt�ation is We and correct and that the appiicants was I were a resident o(
Indiana and owner oi the aforementioned property on March 1, 2b
� e(owneY^!NI'fia�ej I Date imonlh. daY. Y�/)
of
sVfaf�e,, aiM Z!P�, cCo0e`)t
91.k . , Iv 'l�
Paver of fLLlomey w Dy IC 61.74
of aulhoraed person (number and s6eet,
Dale (mon(h, day, yea�