HomeMy WebLinkAboutMortgage_Hauger (4)"'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
__ FOR DEDUCTION FROM ASSESSED VALUATION
� . Stata Farm 43709 (Rit / 6-09)
S�.�. Frewibea bv �� ot tnml Go�emmem Fuiarrs
INSTRUCTIONS: �
To be filed in person a by mail with fhe Co�nty Auditw or Counry Recorder o/ the counry where the pioperry is located. �
FiPog Dates: 1) Real Property: Must file durirg Ne year for which tha deduction is wughG � QR �
2) Mobr7e / Manufadured Fbmes rat assessed az Real Prope�fy: Must !de during the hveHe (72) monfh
befae MarcA 37 0/ each year Ne deduction is sought.
Sea reverse side for a�tl'tiona/ insfrucGOns aCd q�ali�cations. `'"'��
a�..
MWwmlowneror b _ see revpjsesiCe) •�.
nmPSSeevaa,eama�a�nrasm IMortpa��
Me�ch 1. nnaV year Mafth nl
G
�
tt ro, what Is h'a! tcer e�md share ot Nteres27
�f nama m 2md "a Eirterent uan that d eppACar4 6difam Eebw
Name m morrgagee or mnmaa s�
ACdr� of rt�ortgagee ar mntratx
���,���- .�R�� m
� �AU� �
°°G � D�o ` I�(��i
cour.
Deduc
�
_....mt oY.
20 20
vcsi�c
GIBSON COUNTY
-oa ��L
Counry Recorder
1 as of MMgage I ContraO iMehtedrress unpaid as d Is Ne app&�ant Me sale
Cate of aOP�� � w eW�table ow�!?
❑ Yes ❑ No
If owned with wmeone dhar ihan spousa, i�Wirate wtth whom
Is the property in pu�tion: MnuaM AssesseE
❑ R� a�oxm ❑ ��M�
�ryr I w�� r�ng oso-�
COUNTYAUOROR
20 20
20
20
o�v
❑ No
1 I we cerbty�uMer Ihe pen of perjury that tl�bove antl foregoing intwmation is we and correa arM that Me applinnt is a resident of Indiana ard
owner I con4act buyer ot ih afaementioned property on date applrcalion is filed.
�naNre (p�Inef9 !W reme) __ Date (mmfi, deY. Yva�
en appGrant (wm ra sbeeL Uy, stare, P coee , O
� �t �-,n U•�. � . �N 7G�
w,�a oy amr e:eacea a�« orand„ey a cy ic ��.i-iz-0.� ' oa�
ot auCraaeE pe�sm (num0er entl sbee; dry. 5fafe, an0 LP cotle) .