HomeMy WebLinkAboutMortgage_Armstrong (6)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ : FOR DEDUCTION FROM ASSESSED VALUATI� ���
• State Form 43709 (R71 / 6-09)
S P2saibed �y Department of Lncal GovammeM Fnanca
� File Mark
�vsrRUCnoNS: FEB 3 2012
o be filed in person w by mail with !he Counry Auditor or Counry Recorder o! IFie counry where the property �,s located. F� �� �'
Fi7ing Dates: 7) Real Property: Must file durirg the year /or which fhe deduction is soughL. 1�^ I� e� Counry Auditnr
2) Mobde / ManufacN2d Homes rat assessed as Real Properry: Mus[ file d"�nr�ij' e months
befae March 37 of each year the deduction is sought. ❑ Coumy Remrder
See reverse side (oradditional instructions and quali�cations.. GIBSON COUNTY AUDITOR
oisma - � I(eywn,ner��eya�eesafption
�/� a�-�a-o�-�io!
ed �2Ne U real poperty az ot Mortgage / Contraa intlebte�ness
1. dnpnt ypar Mart� 7, turrenl yeer `
If m. what a his / her eraU share ot interest?
It name on rem�tl a diBefmt Ihan ihat of appl
Name ot mwtgagee « mntrxt sel �r /�
J�
Address of mortgagee ar cantraa seDer �numbra and svee4 cey, state, aM ZIP code)
Name ot assignee w oNer owner or hdder ot mwtgage
Aildress o( auig�e (number anC slree4 ary, stafe, an0 ZIP ootle)
Does apptiqnl own pioperty in any olher If yes, what
munry in IMiana?
❑ Yes ❑ No
I
Or�uction appm�.W in the amount of:
20 _ 20 20 _
$ign3NR U COUnty AWitOr
avv���
number PagenumEu
� io
az of Is Ne appfrcant Me sde
lega� a ew�raae ownert
❑ Yes ❑ No
H owned with someone other than sC�+�. indkate with wMm
6� tlre° pioperty in Guestim: Mnuaq' 0.ssctsed
,y�_ealProPenY ❑lvmually�
- -.
Dra�rcr i\'O..c�Q�� —
Ct71'd 1�'O. .:..��� F
�is� :���
n propeny
i �. .__ ❑ No
COUNTYAUDROR
20 20
Cwnry
20 _ 20
Da�e (rtpnth. daY� Y'�a�
I/ We certify under Ihe penatty of perjury that the above and foregoing infortnalion is true and correct arM ihat the appli�ant is a resident of IrWiana arW
o.mer / conVad 6uyer of the aforementioned property on date application is filed.
and
o-j awy
Address o! aNharrzetl person (number arM xneet aly. state. aM ZIP oode)
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