HomeMy WebLinkAboutMortgage_Huff (2)STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tamship Year
FOR DEDUCTION FROM ASSESSED VALUATION
s�a r� �a�oe �as i z-0n
� ��me ni oepeemem a�m c���n F� -^-�
F. d
I: 1 { �
iNSrnucnoNS: �ae . '`
To be filed in person w by mad wifh fhe CourdyA�fw d fhe courrty wheie fhe propeily is bcated.
Fd'sg Dafes i) Real Property Durtng tha 12 months be/are Jurre 17 dthe year Me deduction Ls to be eHactive. � n� 9. C�(���
2) Mobde Homes essessed isider IC 6-1.1-7: Beh�een Januery 15 and March 2 W Me yeei fha deduction is to b�b�i�c9l�e.
See reverse side /a addtiortal insb�ctions end que6ficationc. �
� (!_.
App�� �contradWyar-saere�iCtims sdgj ` �%
°� GIBSON COUMTY hUD�spR
Te�d . Keg rum ' —� � RemN Pepa lU
A�:d vahie d real Rapalr e� d March 1. anaN Y�r IAoripe8e �// //rdebl�dq��s5 ped as W Ala�h 1. la Iha ePVBC�I Iha sde legel or epolable anien
w��� //J(� � U➢Yes ❑No
ha / her e�cl ahare
��le 6elow:
seUer
Address of mort9a9ee a oonUed eeller (number end ffieel.
Nama of assi9nea n alher awner a
/� :�ii
Dom aPplicmd am property in arry olher
couNy n Ndm�m1
❑Yes ❑No
oaa,n� �a�ad � � �,� ot
20 � 20
SigrmWre
�
9ete. adLPmde)
It yes, Mfiffi
20
2b
I( wrt�ed with sortieane olher lhan epouee.
OistriU�
1/ We cer6ry undes the penalry W perjury that ihe above erd toregoing infortnation is true
Indana and owner of the aforernentioned property on Mardi 1, 20 _
Slpre¢re (wx�e(a NI nerts) �
a�c �. ay �e. aro zw mee>
Persor� �,u�aea by d�y �«,nea rw.e. or umrrrey a vy ic �i.i-i z-.o�
Pddrass ot eWhor¢ed pnsm (numberaM sGeel. cWy. sl�e. aMLP mde)
❑ Mohile Fiorne QC 61.1-7)
Fiaa Ihc tle0uc7im barn reques�etl on paperty
!a aarau yeaR
❑Yes �No
�
aeo�-,��
�ioi,7a�. _
� ��� �'`-'��'y(� /�'�p`JL['�
q�, , ,,,� . /� V 1
a -� "` �� � ' �{``�