HomeMy WebLinkAboutMortgage_Newnum.� ""! STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
r,_ � FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R8 ! 2-07)
�6�;; � Resaibed by Depanment of Local Govemment Finance
INSTRUCTIONS' � M
To be filed in person or by mail wdh the CountyAuditor o/the county where the property is bcated. �
Fding Dates: 7) Real Property: Dunng the 12 months ba/ore June 1! 01 the year the deducG'on is to be elfectivep p R 0 I (}9
2J Mobile Homes essessed under IC 6-1.1-7: Behveen January 15 end Maich 2 0/ Ure year the deducGon is to b� �1/ecL've.
See reverse side (or additional insWCtions arn1 qualifications.
Apdicam (owner w
m
GIBSON COUNTY AUD{Tpq
Key umber I legal plion Remrtl number Pa numbm
-la- - -0 d - Co lc7-o� (o �7`-�D
of property as of March 1, amenl yeer Mortgage / ConVad indebtedness unpaid as of March 1, Is Ihe appAmnt Iha sde legal a equiUde owne(1
(LRBnl !
� ❑Yes ❑ No
�/ her ezacl share of interest? If owned wiU someone other lhan spouse, �cate with whom.
If rame on record is
Name of motlgagee or contract seller
AdCress of mortgagee a conVaa seller (rwmbef arM street. dry.
Name of assignea a Wher owner a holtler of mortgage
y�r^�J
licant a.vn praperty in any dher I If yes, whet couny7 I VJhet Tacing Disirict7
Indiana?
�D �rL7�C�'�WZC • COUNTYAUDROR
DeductanaPPro �Ca��'CI' � .......�D..........
2p �j 20 20
C.'���� �0. .-v�j.�� /.`/..�/.)......... Count�
t reo N���%�"'�
I! We certify _ der the pe of perjury that above and foregoing intortnation is W e and corred and that
Indiana and owner ot ihe a mentimed pro y on March 7, 20 .
ss ot apyiranl (number entl s(reet cdy. sfate. a ZIY ootle)
55•Sto�Mo�, t st .:.,�ef�-� r,� Y76
by duy enawted Power M Attomey or by IC 61.1-12-.07
Address of aWhor¢ed person (numbeianE straeL aty. slate.
he property in quesUOn:
Real Property ❑ Mobile Home
s this deduc4ion been requesteU on poperty
cuRenl yea/.�
❑ Yes ❑ No
20 _ � 20
Date Iryo(t� �ey��_L
v �+
�olifants was / were a resident of