HomeMy WebLinkAboutMortgage_Morrison (12)e�� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
= FOR DEDUCTION FROM ASSESSED VALUATION
«. ! State fortn d3709 (R6 / 5-Ub)
� Presaibed by DepeNnenl of Local Govemment Finaxe
�
lNSTRUCTIONS:
To be frled in person o� by mail with the County Auditor of the county whe�e the p�operty is located. �„� ny 1 4 2���
Filing Dates: 7) Real Property: During the 72 months 6efore ,lune 17 of fhe year the deduction is to be �fI�C6v�.
2) Mobile Homes assessed under IC 6-7.1-7: Between January 15 and March 2 0/ the yea�r yth,,e deduc6'on is lo be effective.
See reverse side for additional instructions and qualifications. O'�a� ��
GIBSON COUNTY AUDITOR
�
see restrictions on reverse side)
number / legal description
�OO 7
��,y-�� 6-/J, -/� �03 —�/, o�aoa8 Page number � � 9�
Assessed vatue of real property as of Mortgage / Contract indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, curtent year March 1, current year owner? � Yes � No
3`�, p00
If no, what is his / her exact share of interest? If owned with someone other than spouse, indicate with whom.
name on
mortgagee or contract
� a�
�-Q-,� � G��,�zz���
of mortgagee or conVact seller (number and street, city, state, ZIP
or omer owner or
Does applicant own
county in Indiana?
2o SL
�
Signature
any
mortgage
yes,
.�Y:111'Ct-1�i�..�W� 1
, ; ............
�o�H c�,�a ���o. ... �19L
— ��8,34�0�............
�'� ^.� �.
zo $ I zo v 1 I zo zo
I
County Auditor
�
Date
. .. �
year?
�
�,.
No
I/ We certify under the penalty of perjury that the above and foregoing infortnation is We and cortect and that the applicants was / were
(�sident oi Indiana and owner of the aforementioned property on March 1, 20
Person authorized by duly executed Power oi Attomey -
or by IC E1.1-12-.07 �
esiaen[.autlress ot appucant - Atltlress oi aumonzetl person
� 2�� 5. G�, h� v� s t Qcv.sm��e�ti