HomeMy WebLinkAboutMortgage_Nixon (4).f "q STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun shi r
�,.., FOR DEDUCTION FROM ASSESSED VALUATION { 6,
s�a��a�o9�Raizo» y �j:J
�' a�. � Resmbed M DePaNnenl o( Locai Go�emme�n Fironce
IPII�Im�� 20��
/NSiRUC770NS:
To be filed in person or by mad wdh the CourrtyAuditor of the cou/rty where the p/ope,ty is located.
fDing Dates: 1 J Real Property: Dunng fhe 72 monMs before June 11 0/ the year the deducbon is to be e/fective. �J' �`!
2) Mobile Homes assessed under IC 61.1-7: Belween January 15 and March 2 0( fhe year fhe deduc6on is to be efF '� �'
Seereverseside/wadditionalinsWctionsandqualifications. GIBSON COUNTY AUDITOR
I��Odican� (� or mntiacY Iwyer - see re�ms ar reverse
�rg DisUiQ K mimber / legal desrsiption l � v Remid mmber Page mmiber
- -n� � 3� o -oa8�
0.sse�,W rdue af real poperty as d Alarch 1. anerG year Morlgage / ConVacl'mtlebtedness unpaitl as W March 1. Is Ihe app&ant Ihe ade lagal,Q� eqiita e avrrel7
airteM Year S��T LJyes ❑ No
(�
I( f�31 IS F16 / hB! CX244 Sh2fC OI Vi�ClCSiT If wrned wiih someone dher ihan spouse, intlicate wiih whom.
If �me m record is d'Aterent Ihan Nat of applican4 ���mte below: s the property in quesGm:
ral Property ❑ MoW7e Home (IC 61.
Name af mwipapee or conUacl seller
�C�_N�
mn�rat� sdler (number and 9ree4 dty, stafa. erd
Name of assgrree or dher owirer ar Mdet oF mMgage
Address of asvgnee (rnm�ber eiM sheel, dN• state. anc
Dces applicaM own proparty in arry other
counry in Indiana?
❑Yes ❑No
Deduction appmved in Ure amwnt of:
2b 20
�
SyruWre af Counry AudAOr
If yes, what couny�
0
What Ta�dng Distric
couNTVauoROR
20 20
Caurrty
� 3 � �(9�O �
STEYEnI /n N2Xo,J
sa,�n,e� � �rxa�✓
�Y. Y��
I/ We certify under the penally of perjury iha[ the above and foregoing infortnaUOn is We and corred and that the applidnts was I were a resident of
Indiana and owner oi fhe aforementioned property on March i, 20
idenl address af applicaN
t uy P�o.-H�. Wl e
aulM¢etl by duy uewl
stre1el, ��y, sfafe. aM LP m�
t"r � rfiAC��I/`. �
ttnriev ar W IC 67.1-12-.07
pason (num6er a�H st�eel, ri}; sfate. antl ZIP co0e)
Y?bZD
Date (monlh. deY. Y�+)
II_Ir�-
oa�e (monm. dar. r��