HomeMy WebLinkAboutMortgage_Kleeman.+'�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
__, � FOR DEDUCTION FROM ASSESSED VALUATION Coun 7ownship vear
^ � srace w�m aa�os �an i sos> �� I , n`.
S,,,, % aresrn�cea M �ecar�mek or La� coremmem Frw�cc _
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INSTRUCT70NS:
To be filed in person or by mail wrfh the CountyAUditor or Counry Recorde� of the counry where the pmperty is locat�! G,� FO��� �'.
Fi/irg Dates: 1) Real Pmperfy Must file during the year Por which tha deductlon is sought. � County Auditor
2J Mobde /Manufactured Homes not assessed as Real Property: Must fi7e dunng the hvelve (i2J montlis ��� �Y �`
before Maich 31 of each year the deduclion is soughG (Q�ounty Reoorder
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See reverse side foradditional instructbns and quaffications. GIBSON COUNTY AUDITOR
nppEC�m (owms orcontae 6vyrer ysea m revep� siie)
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Marti� 7. anva year
m ra, what Is his / her erxx :Jiare ot interesYt
name on reco�d Is Ettfwent Nan Nat a( app�tant, hWir�ate b¢bw.
mortgagee w mnfra�l setler
Address of rtnnga9ee or mntraa se0er
w othu owner or
of morigaga
'F ci.7
-��a-000.3��-oa6 .__._.�..� . s_va�
7ehteCnesS unpaid as of Mortpage / COnSac2 4qebtedne55 unp3id a5 0( Is the apP��t tlta 5ok
Eate of appGmtion legal pr equitahle rnmCl
SS ❑ Yes ❑ No
tt awneO wi� someone oih� Nan . hd'Kate xqh wfnm
13 V�e DroPenY m Ours6on: An.���. • s°=�
. '—' � �PSSed
� ,�� �nA�, s� �r� � : ��6,.,_�
la -5�a�
Atltlress of as4gnee (number arM stree4 �++Y. s7Ne. end LP wde) .
Or w . 3_ o , s�- f�-�
o� apa� o� o�aem � a,r omg rc res..w,ac �,nyr What Taring D'atricCl r� �,� aeaw� e�, rea�ea � a�e�
counry in Indana7 � Yes ❑ No ��� �� ❑ Yes ❑ No
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