HomeMy WebLinkAboutMortgage_Sollman (2)„. �no STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Townshi Year
� 4 FOR DEDUCTION FROM ASSESSED VALUATION
�e _
S1” �;���>�� Siate Form 43709 (R77 /609) Z0�2
�`�.= Presaibed by Department of Local Govemment Finance T File Mar <
I��ai� �l.l 5 2��2
RUCTIONS:
To be filled in person or by mail. with:
Filing Dales: 7J Real Property: Must be �mpleted and daled in the calendar year7or which the deductlon is sought. C" '�
Musf be filed wilh fhe County Auditor or County Recorder o(the county where the property is locafed � unty Auditor
on o�beto2 January 5 ofthe immediately succeeding ralendar year. GIBSON OUI�Y Al6tlt�R§�Recorder
2) Mobile /Manulactured Homes not assessed as Real Properfy: Must file with the CountyAvdito� oI the
county whe2 the pmperty is bcafed dunng the twelve (72) months belore March 31 o/each year fhe
deduction is soughf.
See reverse side tor additanal instructions and oualifications.
(owner or contract Duyer- see restnchons on reverse
Jonathgn K. Sollman
Taxing District Key number / legal description 26-18-26-300-000.981-025 / Property
L _ , Address
,E ��� J 9030 S 225 W Fort Branch, Indiana 47648
�/ /(�/ PIN
�-� v Zs-ia-zs-soa000.sa�-o2s
Assessed value of real property as oF Mortgage / ConVad Intlebtetlness unpaia as
March 1, current year March 1, wrtent year
5122.735.00
no, what is nis i ner exaa snare ot mte
name on recortl is difterent than that c
ame of mortgagee or conVact seller
lortgage Masters of Indiana, Inc
�ss of mortgagee or wniract seller
E. Virginia St, A, Evansville
ame of assignee or olher owner or hol
Cdress of assignee (number and 5t2e
oes applicant own pmperty in any oN
wnry in Indiana?
O Yes
educiion aooroved in the amount of:
20 _ � 20 _
D .��,� o...aQ�.�.......
C11'(1 ��. ..
20
.5l ��.......
20
of aPGliwtion
someone
20
�U/� �/G 3
ebtedness unpaid as of Is the pliwnt the sole
legal equiUble owneR
Yes ❑ No
spouse, indicate with whom
ne properry In quesuon: nnnuairy Assessea
Real Property ❑ Annually Assessed
Mobile Home (IC 6-1.
; ihis aetlucuon �een req estea on property
cuneni year?
Yes ❑ No
20 _ � 20 _
1/ We certify under penalty of perjury that ihe above and foregoing infortnation is true and correct and thai ihe applicant is a resident of Indiana and
owner / contract buyer of the aforementioned property on date application is filed.
S 225 W. Fort
person
city, state,
IN 47648
�.d Power of Attomey or by
nberands[reeL city, state,
-4-