HomeMy WebLinkAboutMortgage_Higgins""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship vear
_„ = FOR DEDUCTION FROM ASSESSED VALUATION
• Sta[a Fotm C3709 (R71 / 6-09)
S�.�. � Presmbe0 Ey DepanmeN of L.oml Govemmerrt Frianre
'' "
INSTRUCT70NS:
To be filed in person of 6y mail wiN the CountyAUditor or County Recorde� of the co�nty where the pioperty is1qt�tp� F� ���
Fil'mg Dates: 7) Real Pmperty: Must �e dunrg the year (or which the deduction is soughG J t r 2 S ZQ County Auditnr
2) Mobile / Manufactmed Homes rwt assessed as Real Pmperty Must 61e dunng the twelve (12J monfhs
6efore March 37 0/ eacA year the deduction is sroughG '-y�/ ❑ Counry Recorder
See reverse side !or adtlitional insVUCfions and qualificafions. p'� 6�
��. Ap�wnt (owner or conUaG buyer- see res4ict'ortc m reverse vCe)
. __ _ . • . l_ i • • , GIBSONCOUNTY
oistr�[l
As� vd4�e d mal poputy as ol
Ma�d� 1. arrent year
11110. Whdl IS h6 / h¢f EYdd ShBIB Of VIi@!¢Sl7
m n.md is Citfer�i Nan Nat af app6rant ���e Gela�r.
„-.,,r'vCzT
5 ,
d rnortgags ar mno-aa
_o� -.3o�-ooa. a�-o�8 5
act "uWebtetlness unpaid as W Mortgage I ConVari mtlebtetlnrss unpaitl as d Is Ihe appikant Ure sole
year �ate of avP��� legal w eQURade oxne/?
S /7 /) ❑ Yes ❑ No
sbte. aM LP mQe)
It owned wiM someorre dher Ihan spouse. i`Wuate wrth wMm
perty in GueSCm: Mnua%PSSeSSed
aropertY Qnm,�alNasse,ssed
_�—_-- -
Name af "� ee w oNU ownet or haltler of mortgage -
nce�ess ot assi9nee (�umaerene sveet �: stste, and z D I':11Y C I' � �..��.V.�. ......
Does e�imnt am property in any oNer If I^ 1 Has this tletlutlic
mumymi�eera? n.,_ n.._ C:7Cv \'�. ... ...lY.......... raa,rten�vean
icban appmvea v� ure amoum ot .
20 20 2Q 20 _ 20
Counry
r.i� ��
��v�v
Yes ❑ No
Oate (monlh. day, yEa�
20
I/ We certity unde�e penalry of perjury �the above and (oregoing infortnaUon is We and cortecl and Nat Ihe applirant is a resident o( Indiana arW
owner I mntract buyer ot Ne afaemention property on date appiinbon is filed.
` ' rewre (o�mer's hAreme) _ Date (nmth. EaY• Y�+)
x
� Full Rsident d appWant (numberand , tlly state, ard Z�P mde) v
�'!I
Addmss of aWiwtred prlmn (numberantl stree; ury, sla�e.
142-0.)