HomeMy WebLinkAboutMortgage_Baehl (2)�W r a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
,,,��„ �: FOR DEDUCTION FROM ASSESSED VALUATION
� � 51 2012
�� Siate Form 43709 (R7 7/ 6-09)
''��' Presaibed by Department of Local Government Finance IIB
INSTRUCTIONS: � I � � � �
To be �lled in person or by maiL Form filed with:
Filinq Dates: 7) Real Property: Must be aompleted and dated in the ca/endar yearlor which the deduction is soughl. 9� 9
Must be (led wifh the County Auditor or County Recorde� ol lhe county whe�e fhe property is lorafed � T� `Cp,(Itlty Auditor
on or before January 5 o7the immedialely suoceeding calendar year.
2) Mobile /Manu/actured Homes not assessed as Real Property: Musf file with fhe County Auditor ollhe ���� ��eOUnty Recorde�
county where the property is bcatetl dunng fhe hvelve (72) months be%2 Ma/ch 37 of each year the V
deduc6on is souoht. U
icam (owner ol oonfidIX Duyer - see
it Baehl and Doris J. Baehl
n9 Dislrict
-�;��-�'z�Qi /_ _
�ssed value of real property as of
:h i, current year
, what is his / her exad share oF inie
ne on recofd is diftereni than that ol
Name of mortgagee or conUact selle
Heritage Federal Credit Union
Atldress of mortgagee or cont2ct se
5388 Old State Highway 66, N
Name of assignee or other owner or
zo
street,
Ilcant own pmperry in any
Indiana?
❑ Yes
zo
on 2verse
number / legal descriptlon 26-18-26-100-001.507-025 / Property
ress
7 W 850 S Fort Branch, Indiana 47648
zs-ia-zs-ioaooi.eo�-ozs
Mortgage / Coniraq Indebl
March 1, wrtent year
IN 47629
GIBSON COUNTY
/� �� s�9
as of IMOrtgage /ConVact indebtedness unpaitl as o( Is Ne applicant Ne sole
tlate of appliration legat or equitable owneR
�Yes ❑ No
rnetl with someone oNer Nan spouse, indicate wiN whom
Is the property in question: Annualy Assessed
Real Property ❑ Annually Assessed
Mobile Home (IC 6-1.1-7)
it yes. wnat counry? �U^�-• T--- ----
No �/�����1 !�
� JJI"il�\�Cl ��..},i�4.�.�.........
C:11"d � O. .. . ..�.J. �! .l . ... .. . .
20 •
ic6on been requested on property
an
R�] Yes ❑ No
zo
I/ We certify under penalty of perjury ihat the above and foregoing infortnation is irue and corred and that the applicant is a resident of Indiana and
owner/ contract buyer of the aforementioned property on date application is filed.
ignature (owners !uB name) Date (monm, day, ea�
_ ���,�i%��.-�.� '` �Q �r�.:,C.-Q � - a�f - i �
;iaent atldress of applicaN (nomtierand
W 850 S, Fort Branch, IN 47648
or Dy
person (numDer antl sf2ef. cify, state, antl