HomeMy WebLinkAboutMortgage_Tuley (3).r °^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
� FOR DEDUCTION FROM ASSESSED VALUATION
Slale Form 43709 (R8 / 2-07)
�� j Presmbetl by Oepartment of Local Govemment Firance
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INSTRUCTIONS:
To be filed in person or by mad with fhe CountyAuditor o( fhe county where the property is located.
Fding Dates: 1J Real Property: Dunng the 72 rtronths befwe June 77 of lhe year the deduction is to be elfective. �j �
2) Mobile Homes assessed under IC 6-7.1-7: Behveen January 15 and Ma�ch 2 of the year the deducL'on is to !!e e1 e�Ve.
See reverse si� 7or additional insWctions arrd qualifications. GIBSON COUNTY AUDITOR
ApplifaM
see resfricliais
rdue of Ral popaly a5 ot MarCh 1. mieM year
t is his / her ezacl share of inlerest?
?=%a-ooa 9�r-oa�
Mw�gage I Coniraff indeWedness unpaid as of MarU 1.
a�nent Year / .f 1 „�. r
If iwne m record is d'Aterent �han lhat of applirant, indipte below:
Nama of mortgagee ar cantract seller
mongagee w mntract seller (numberaM sf�eef. tily. sfate, and ZIP cade)
sig�e a olher oaner or hdder of marigage
assgnee (number and sfreef. city, state.
Dces applicaN own poperty in arry oiher
counry in Indiare?
❑Yes ❑No
Deduclion apprwed in Ihe amount of:
�� � �
If yes, whal couny? Wha
couNrrauo
20 20 _
someone
ISIhe appGmnt Ihe sde legal of table owneY!
Yes ❑ No
spouse, irMicate wifh whom.
�Is e property in quesUOn:
Real Property ❑ Mobile Nwne QC G7.
Dra�rer \0..��Q�� ....t �,
`^.ri7�`"�s C •�• �a .�y.
Car.d;,\'O' .l.�:p�:::.....
.� ��3,a89��
20 _ � 20
Date (monfh. dey. yea�
20
�m
� No
I/ We certify under fhe penalry of perjury ihat the above and foregoing infortnation is We and correct and that Ne apptipnLs was / were a resident of
Indiana and ovmer of the aforementioned property on March 1, 2b
ari0
G7
d�H
Address oF a�Ahor¢ed pssan (number and sLee( cAy, sUte. aM Z!P ootle)
Da�e (monlh, day, yea�