HomeMy WebLinkAboutMortgage_McDaniel (4).� °^� STATEMENT OF MORTGAGE OR CONTRACT INDI
FOR DEDUCTION FROM ASSESSED VALUATION
Stata Fortn 43709 (R8/2�7)
�' ya � Presaibed by DePaMient d Locai Go�emmenl Firence
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�NSrnucnoNS:
To be filed in person or by mad wdh fhe CourrtyAuditor o/ fhe courtty where Uie pmperfy is bcated.
Fding Dates: i) Real PropeAy.' Dunng ttre 12 months before June 11 0/ the yeai the deduction is fo be el/ective. `�� �
2) Mobile Homes assessed under IC 61.7-7: Between January 75 and Maich 2 ot the year tl�e deducUon is to 6�fI
See reverse side lor eddilwnal insWcGons ard qualilmations. �
GIBSON COUNTY AU6ITOR
n
�rm.�/�.,�t I A'�-�r-�o
w�ad vah,e oi rea� popatr as af A�aia, ,. a�r�d r�.
otinterest?
record is diRerent thar� Nal M applicanf, i�ote belovr.
morlgagee or conllact seller
or monqayee w m,uaa seller (nunber and meel dry, sfare, and z�a code)
ass9rrea or alher wmer w holtler of mori9a9e
M<�grree (nwnbeiaiM sheel. city, sfafe, and
applicaM am peopertY in arry dher
y in indiare?
❑Yes ❑No
cUon approved in Ihe amauN of:
p �
it yes, wn� �,my? I
COUNTY
20 20
�- O �.�
unPaid as of March 1.
someone
w eq�made o«nerr
❑ Yes ❑ No
indwte wi�h whom.
Is Ihe propeM1y in quastion:
❑ Real Propertv ❑ Mobile Hane
m��D� r� C�(Lss�rt
L
a� � 3a 5�
20
� �� ww�r
Yes ❑ No
20 20
Date (man(h. tlay, yea�
I/ We certify under the penalry of perjury ihat fhe above and foregoing infomiation is true and corted and that ihe appfirants vras / were a residen[ of
Indiana and owner of ihe aforementioned property on March 1, 20
applipnt (num6er end sLee1 cf}: stale. aM ZIP mde)
authwaed by duy
Power oflLLtorney w
aulhoraedpersm (numberaMSheel.rdy.sfate.aMLPooOe)
Dale (monlh, day, yea�
Y��)