HomeMy WebLinkAboutMortgage_Speedy� STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
S p� J Siate Form 43709 (R5 / 4-03) �
� PresdiDed Cy Departme��t of Loca! Govemmem Finance ��
INSTRUCTIONS: ,JUL 2 6 ¢y�p�a�
To be filed in person or 6y mail with the County Auditor of the counry where the property is located.
Filrng Dates: 1) Real Property: Dunng fhe 12 months be%re May 11 0/ the year the deduction is to be-eflectNve�Q�
2) Mo6ile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of the year the-deductw�n ist� he eflective.
See reverse side for additional instructions and qualifications. GIBSON COUN7Y AUDITOR�
or contract buyer- see
Taxing Dist
\ I
Assessed value of real property as of
March 1, curtent year
�io, what is his / her exact share of interest?
on reverse side)
Pcey number gai description Record number
�6-�a-� -�0,3 -ooi. �93-0�8 Ot� - 4 4 �
O I�- O� 4 9 3-� Page number
Mortgage / Conirad indebtedness unpaid as of Is the applican`t, —th,�e.sole legal or equitable
March 1, current year owner? y�yes � No
�/
� �
If owned with someone other than spouse, indicate with whom.
If name on record is diNerent than that of applicant, indicate below:
of mortgagee or contract seller
^ l l�e� 1
Address of mortgagee or Nract selier (number and street, city, state, ZIP
Name of assignee or other owner or holder of moAgage
of assignee (number and st2et, city, s�ate, ZIP code)
Does applicant owo property in any olh�r � If .,�; �••hat county? bVhat Taxing Distrid?
wunty ir indiana?
COUNTY AUDITOR
Deduction approved in the amnunt nt:
20 --T2n��_ ---' 20 09 za
Q ' P
-
- -'----- --- P - --
SignaWre
County Auditor
2a
property in question:
�I Pmperly ❑ Mobile Horne (IC Fr1.1
aG� 8^
Has this deduction been requesled on
propertyforcunentyeaf?� Yes❑ No
20
Date
20
We ce�tif�j under the p��nalty of per;ur,� �ha� fhe above and foreooino infonnation is true and corred and that the applicants was / were
'esirient of Indiana and owner of th? aforementioned property o� March 1, 20
d� r•amf �) person a��thnrized by duly executed Power of Httorney
�j� _�!�� or by IG 6-1.7-t2-.07
Address of aulhorized person