HomeMy WebLinkAboutMortgage_Crawford°"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS u n Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
. �' Slate Form 43709 (R71 / 6-09)
�,.,. PresaiEed by OePart+neM ol Laal Govammenl F�unce
�vsrRUCnavs: FEB 2 3F'p9�`�`
To be filed in person a by mad with fhe CounryAUditor or Counry Recorde� of the oounry wf�ere tAe p�operty is located� � F� ��
Fi1mg Dates: 7� Real Property. Must file durirg Ne year for which the deductbn is soughf. unry Auditor
� 2) Mobde /Manufactu2d Homes not assessed as Real Pruperfy Must Ae dunrg the tweNe (72J months
befwe March 31 oleach yearthe deduction is saqht GIBSON CO NT U pi Recorder
See reverse side (ar additional instnictions and qualifications.
Tari�g District Key pLLm r/-[
ar
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Mard� 1. tlmml year Ma�
If no, what's h's! her eraq sha2 o! interest?
If name m rt.v.rord a SMsrnt lhan that ot appGpnt, rtmc
Name o( mortgagee or mntraa sWer
="7��-304- QoD.
/ Contract irde6letlneu unpaid as of Mar
ACdress oi mort9agee w mntraa sWer (number end stree4 uN.
Name of assgnee or oNer owner or hdder of mortgage
Ailtlrrss af asvgnee (number aM stree4 a+y. sbte, aM ZIP cnd�
Dces applifant ovm property in any oNer I( yes, w
mumy in Intlana?
❑ 1'es ❑ No
Deduction approved m the amount of:
�
sy�nne w camq auenor
2b — � 20
arM ZIP
�l a
Yes LI No
I( ow�ed with wmearie othu Ihan spause. iMira[e wM wMm
Is tM properry in 7uestion: Mnually A^sessed
❑ Real Pmperty ❑ Armually Assessed
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COUNTYAUDROR
20 _ 20
Counry
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I I We certify urnier Ne penalry of perjury Mat Ne above aM foregoing inforrtwtion is We and cortect and ihat Ne applirant is a resident of Indiana and
owner / mntraU buver of the aforemeMioned property on date application is fileE.
aEdress ol appfirant (iwmbe�antl sfJ�e4 ary, s+ate, antl Z!P cotle)
Pawn autho�rsetl Gy EWy ezewied Power UAOmieY w by IC 6t.1-12-0.7
person (num0eraritl sUee4 dry. s+a(e, antl LP wde)
(rrb.rcn. eay,