HomeMy WebLinkAboutMortgage_Jones (2)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION i
S1ffie Form 43709 (R8 / 2-07)
�6 � Presmbed by DepaNnenl ol Latal GovemmeN Firence
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ie a
rNSrnucnoNS:
To be filed in person or by mad witA the CountyAuditor of the couMy whaie the pinperty is located. A P R 1 3 2�09
Fding Dates: 1 J Real Property: Dunng Ure 12 rtronNs be/are June 11 d lhe year the deduction is to be efleclive. �
2J Mobde Homes assessed rmder IC 6-1.1-7: Befween January 75 end March 2 0/ Me year tl�e deduction is to be eflecfive.
s� ��rse sae �o. eda n i r�m�ceons e�d q�r�t�o�. ��,CL—�
qod;ca,alou•,,e,n,mn7aC -seereshicbonsonre �de) GIBSON COUNTY AUDITOf7
Oislrict — Key number / lega
`oZb-�oZ.- �.�
AsctseE ralue of real pWatY as af Mart�h 1. cvrent year
af iMeresR
recorC is CiRerenl than ihat of applicarq, in6�ate belox.
Name ot mw�gagee or conUad sNler
Address of moRgagee at aonNad seller
Nama of assignee a WMx avner w hd
9ree! mY• state. erd
of martgage
sVeel, dty, state, antl LP ¢
applicanl wvn poperry in alry olher
y in Indiaria?
❑Yes ❑No
ction appmved in Ihe amaml of:
20 � 2b
of MarCh 1,
someone
Jo►��,s S ��-�Z:�F
D�"S33
�wmber
�s ihe app6canl u,e swe �epa� « equitaae mmen
❑Yes ❑ No
spouse, vdicata with whom.
Is the propaM1y in Question:
❑ R�1 ProoeAV ❑ Modle Home OC G7.
20 _ � N1 I 20 _ ' 20
,��,� a� �
❑ Yes ❑ No
20
iignaWra of CounlyAUdAOr CaMY
I Dale monlh, daY. Y��
. I/ We certify under the penalty of perjury fhat the above and foregoing in(om�ation is true and corred and Uiat the appGcants was I were a resident of
Indiana and owner of fhe afaementioned property on March 1, 20
G� e(owne/slWlname) Data (manlh. deY. Y��
ss ot appliranl (n8rf�bei end straet dty. state. and Z(P code)
ny auy «ew�a Power ot a�r a q ic �i.i-i2-.o�
ot aNhor¢ed pasai (number aM sGeet dty, state, ar�d LP oode)