HomeMy WebLinkAboutMortgage_Hill (5)a"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION � �
S1ate Form 43709 (R8/ 2-07)
�' y� 1 Presrnbed by Departmen� of Local Govemmenl Finance
INS7RUCTIONS: �U�'��`�008
To be filed in person or by mad wdh the CoantyAuditor of fhe courrty whe�e the propeAy is bcated.
Fdmg Dates: 1J Real Property: During the 12 monfhs before June 77 W the year the deducGon is to 6e elfetlive. `-7�9� ��
2J Mo6iie Homes assessed under IC 6-1. 7-7: Befween January 75 and March 2 0! the year tbe deduc6on is to b�e7ieE5P8.
See reverse side 7or addi6onal insWctions and qualilcations. ��
GIBSON COUNTY AUOITOR
o��aa
29fittims m reverse sde)
Key
(� -/ -O%- O —o
rah�e of real poperty as of Mard� 1. amenl y�r Morigage / Con4ad irv
airrm� year
i
i
t is hrs / her exaU share of interes�?
n recard is diBerenl Nan Ihat of applicaM, indiote belar.
of mortgagee arcanLaclSeller
Address o} rtartgagee w mnUad seiler (numbet aM sfrne( aty, sfate, arrd
Nartre of ass9nee a alher o.vner w hdder d mM�age
Address of assignee (mimbe! antl sfree; aty. sfafe, and ZIP wde)
applicant oan popehy in any Wher
y N InNana?
❑ Yes � No
ction approved in Ihe amount of:
20 � 20 _
7 s- o,z 8
unpaitl az of March 7,
what counry? Whal T:
COUNTY AUDRO�
�o� I �'�'�
� �a ��� � ��we ��
❑ Yes � No
somerne olher Ihan spouse, indicate wilh whom.
Is ihe P��nY in question:
❑ Real Property ❑ Mobile Home pC 61.
, o ob -.c?S9 G
UT.1\\'Cl- �� ;•;....
. . � � PmPertY
..........
C.lt'(i��...`.....` � ❑No
20 I 20 _ I 20
CauMy
20
Daffi
20 _
I/ We certiy under ihe penalry of perjury ihat Uie above and foregoing infortnation is We and cortect and ihal the applinnts was I were a residenl of
Indiana and ovmer of the aforementimed propeAy on March 1, 20 _
(number and shee(. cdy. state. antl LP mde)
_ ri
by duN ��ted Power of Atcomey
Address of aulhwaed persai
state, arM Z!P oode)
Date (manN, day, yea�
r�n