HomeMy WebLinkAboutMortgage_Ayers (2).���_a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count I Township Year
.a.. _ 4 FOR DEDUCTION FROM ASSESSED VALUATION "
y,� i ;C
� StateFwma3709(R70I77-08) ib�n oh n
� � Prescnbed by DeOartment ol Local Govemment Finance
INSTRUCTIONS: 7 F9ile Mafk
7o be filed in person or by mail with the Counry Auditor o/ fhe county wbe�e the property is locafed. O C T 1 5 G � �Z
Filing Dates: 1J Real Property: Must file dunng the year /or which fhe deduction is soughf.
2J Mobile /Manu/actured Homes nof assessetl as Real PropeRy: Must file dudng (he tweNe (12) mtioi
!Ae deduction is sougAt.
See reverse side �or additional ins[ructions and qualifications. G I BS ON
Applirant (nwner w rontract buyer - sae rasfncfions on reverse sidef
\�4.V "�1._'(��\�!� . �r. ._ `:Y� . ���a. r� ai- .Ta S� 11-�e P �' �
Tadng District
Johnson
Assessed vaNe of real poperty as ol
March 1. currerit year
It no, whal is his I her ezact share of ii
It name on record is tliRerem lhan Na
Name ot mortgagre or convacl seAer
Old National Bank
ey numCer / legal tlesuiption
2G23-16-100-002.062-024/Lot 16 Couniry Ayre Estates No. 2
Mortgaga/COntraQirWebtetlnessunpaidasof Mortgage/ConVac
March 1, wrtent year date of appGCatbn
Address of mortgagea w wntract uDer (num0er and svaeL ciry. sWte. eM �
One Main St. Evansville, IN 47708
Name of assignee ar oNer owner or holtler o/ rtnrtgage
Address ot assgnee (numbe� and stree4 ary. s+ate, and ZIP catle)
Does app5fant own property in any oUer If yes, what caunry7
� counryinlnd'a�u?
❑ Yes ❑ No
What Taxing D'6lrip?
number
as
37 of each year
Yes LI No
Is Ne pro0erty in question: AnnuaDy PssesseC
� Real Properry ❑ MnuaOy Pssessed
Mobile Home (IC 6
Has Ws Eeduction been requested on property
fa curtent yeaR r-� _. r-i