HomeMy WebLinkAboutMortgage_Greene (3)�:�� 4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
a• � FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
«. J State Fortn 43709 (R6/ S-06)
Presaibed by Department of Local Govemrtrent Finance
INSTRUCTIONS: .JU� j�2OO�
To be filed in person or by mail with the County Auditor of the county where the property is located.
Filing Dates: 1J Real Property: Dunng the 12 months before June 11 of fhe year the deduction is to be el%ctive.
2) Mobile Homes assessed under lC 6-1.1-7: Between January 15 and March 2 0l the year the ded�,fB�ective.
See reverse side for additional instructions and quali(ications. GIBSON COUNTY AUDITOR
(owner or
Tauing Dislrid
buyer- see ie�tnctions on ieverse
Key number / legal description � Record number
Page number
a - . I6a -
Assessed value of real properry as of Mortgage / Contrad indebledness unpaid as of Is the applicant the sole legal or equitable
March 1, current year March 1, current year ownef? ❑ Yes ❑ No
no, what is his / her exact share of interest?
If name on record is different than that of applicant, indicate below:
of mortgagee or contract seller
If owned with someone other than spouse, indicate with whom.
Address of mortgagee or contract seller (number and st2et, city, state,
Name of assignee or other owner or holder of mortgage -
Address of assignee (numberand street, ci �/�/�� o��
DC8\\'CI' ��... w.....�...
:�
Does applicant own property in any other If� � -
county in Indiana?
Card \o. ..... �Q�.33 •.���
�o2Pw m� �°, �
Deduction approved in the amount of:
20 O z I 20
�
Signature _
COUNTY AUDITOR
20 0�' _ 20 20
P
County Auditor
Is the property in questian:
❑ Real Property � Mobile Home pC 61.1
Has this dedudion been requested on
property for wrrent yea(? � Yes ❑ No
20
Date
20
certify under the penalty of perjury that the above and foregoing intormation is true and corred and that the applicants was / were
lent of Indiana and owner of the aforementioned property on March 1, 20
Person authorized by duty executed Power of Attomey
or by IC 6-1.1-12-.07
of applicant � _ �Actdress of aulhorized person