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Home My WebLink AboutMortgage_Whetstone (2)�� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year �• ! Sute Fortr: a37p9 (R5/ a-03) � � � �«• . P2sai�e0 �y Depaemeni o( Local Govemmenl Finance INSTRUCTIONS: � �UL 1 3 ZOOPile Mark To be filed in person or by mail with the County Auditor of the county where the property is located. Filing Oates: 1J Real PropeRy.� During the 12 months before May 11 0/ the year the deduction is t�Rjfe �� 2J Mobile�Homes assessed under IC 6-1.1-7: Between January 15 and March 2 of the ye�f he de tion is to be e/%ctive. See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR or contracf buvEr- side) i axmg uistn�t Key f�umber / legal description Record number Q� � Pa e number �� 9 o�a�'�-�� 9 Assessed value of real property as of Mortgage / Contract indebtedness unpaid as of Is the applicant the sole legal or e March 1, curcent year March 1, current year owner? ❑ Yes ❑ No a? 3 000 If no, what is his / her exact share of interest7 If owned with someone other than spouse, indicate with whom. If name on record is different than.that of applicanf, indicate below: Is the property in queslion: me oi mortgagee or coniract seller Address of moAgagee or wntrad seller (numb�r and street, city, state, ZIP - Name of assignee or other owner or holder of mortgage Address of�assignee (numberand st2et, city, state, ZIP code) Does applicant own property in any other I( yes, what county? county in Indiana? Deduction approved in the amount +�/1�� ❑ Real Property ❑ Mobile Hame (IC 61.1-� � Dra�ver N�...�5•.. 3 9�18 Cardr'�;�'i��, �.�g°�`� �� What Taw __.,,,��ci? Has this dedudion been requested on property for current year?� Yes❑ No COUNTY AUDITOR � ( 20 � 20 20 County Auditor 20 20 We certify under the penalty of peryury that the above and foregoing information is true and corred and thal the applicants was / were resident of Indiana and owner of the aforementioned property on March 1, 20 Person authorized by duly executed Power of Attomey or by IC 6-1.1-12-.07 I Full resident address of applicant Address of authorized person \� �a3o8 ia��o� R�e�