HomeMy WebLinkAboutMortgage_Jarboe (2)�e��V' � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
�' FOR DEDUCTION FROM ASSESSED VALUATION
j • SUte Form 43709 (R6 / 5-0G)
�� Presaibed by Department of Lowl Govemment Finance
INSTRUCTIONS:
To be filed in person or by mail with the County Auditor of the county whe�e the propeRy is located. p R 3 Q Z�� �
Filing Dates: i) Real Property: During the 72 months 6e/oie June 17 of fhe year the deduction is to be eifect�ve.
2J Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and March 2 of the yea�r yth,e, deduction is to be effectrve.
See reverse side foradditional instiuc6ons and qualdicaGons. v,(aa ��
GIBSON COUNTY AUDITOR
Taxing DisVict
Assessed value of real property as of
March 1, current year
no,
name on
oi interest?
Key numbe�/ legal description _ Record number
c�i � -/ 5� / %-3 Gb- odo• �9� �-v��
Mortgage / Contract indebtedness unpaid as of Is the applicant the so
March 1, current year q�'y �� owner? � Yes
that oi applicant, indicate below:
or conUact seller
� �
�3S
�al or equit2
No
If owned with someone other than spouse, indicate with whom.
Address of mortgagee or conVact seller (number andstreet, city, slate, ZIP
or
owner or holder of mortgage
and s6eet, city, state, Z!P
pplipnt own property in any other I If yes, what a
in Indiana?
amount of:
�z,s17��'39
P Q
Signature
s the property in question:
❑ Real Property � MobBe Home QC 61.1-�
- r- (o3Sl
Dra��cr \O..U..�Y�•••
✓
C�i(� �� . .....................
20 � q 20 20
Q
County Auditor
20
Date
eduction been r
x curtent yea(�
20
�
1/ We certify under the penalty of perjury that ihe above and foregoing infortnation is true and cortect and that the applicants was / were
�sident of Indiana and owner oi the aforementioned property on March t, 20
or by IC 6-1.1-12-.07
t'�G6o IAddressofauthorizetlperson