HomeMy WebLinkAboutMortgage_McKinnon"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Yea
__ ; FOR DEDUCTION FROM ASSESSED VALUATION
- s� r-or� a3�w ca�i i s-w>
, w. � Presaibed M DePa�rtl o1 Loral GovemmeM Firence
F M
�srRUCnoNS:
!0 6e filed in person or by mail with the CountyAuditor o� Counry Recorder oI fhe counry where the property is located. �����
Filirg Da[es: 7) Real Pmperty: Must file during the year �or which the detluction is sought. ��7 Counry Auditor
2J Mo6ile / Manufactured Homes nof assessed as Real Property: Must file dunng the twelve (72) Wterith� 4 Q � ��
be/om March 37 o(each year the deduction is sought ❑ Counry Recorder
See reverse side 7or additionaf instructions and qualilcafions. C��'
APa�rcant( wnerormnbartbuyer.seeresrnca'wrsonreversa � e) �
L ' GIBSON COUNTY AUDITOR
aarg District Kcy rcimher / legal d 'ptirn Reto�d mimDer Page wm0er
�• s�d1 � o� - oa . 5�t-d g /� �3 9�
- AressW v,�.� ef rral po^s:y es d� -� brtgage / ConT�C iMe�t_ness u:.�.'v" � W-. .!:.o.^.�agc / ConL•a� inCeb'.r'..nr_s u��if as of L^ L5e eFpLkant lhc:.ole
�lard� 1. arrent year Mart�h 1. airten[ Yearq,,,� O I �' �� date of aPP�
{I �l
u no. whac Is na r nu e=aa share uf intrlest? // / 000 �r wn,m wim sw,iewre
tl �ame m �ecwtl is dAteren[ Nan that of aGP��l'mAi�ate Delow:
Name ot morl[Jagee w mntrarl se0er l�Jr,
�lel� C �o
Pddress ot mortgagee ar cantracc seAer (numDer aM stree4 tdy. sfa e, aM Z/P co�e)
�_� �5e�� Fc��n W�l m.������
Name ol assgnee w other owner or hdEer rtpngage
MCress at assignee (number arid stree; tlty, sfete. and LP catle)
Dces appti�a_nt own property in any other � If yrs. wh[
Cre amount of:
No
is the ProPertY in question: MnuaAy Assessed
�a� PmpenY ❑ MnuaA�' 0.55e55ed
Mobile Home (IC 67.
�
What Ta�dng D6IrifiT F7as Ihc ded��m Deen repuested on propeny
'_' _ _'�
GOUNTYAUDRt �G ' `�' - �� � � _
Zo � � zo //—.3��� —
SignaMe of CounbAuditor Caunl
I/ We certi u der ihe penally of perjury that Ne above and foregoing infortnalion is We and cortect and Nat Ne appliqnt is a resident of Indiana and
owner 1 co buyerbf the atorerpentioned prop�rty on date application is filed.
Pasan autMfaed by duy esecvtetl PoWer
ret, riry, state, antl ZIP cotle)
i �(';r�tAc�-�r✓� � �
;�er «cr ic s,.i-�z-0.�
dly, Stlle, and LP tnde)
�� �
tley,