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d�:=-.�4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
-t�1 FOR DEDUCTION FROM ASSESSED VALUATION
3��' StateFOrma3709�R70/N-08)
� Prescnbed Dy DeparUnent of Local Govemmen� Finance
INSTRUCTIONS:
Couni � Township Year
�
To be filed in person oi by mail wi(h tAe CountyAuditor o( lhe county whe2 the property is loca(ed.
Filing Dates: 7) Real Property: Musf File dunng the year7or which (he deducUon is sought �EC 1 3 Z��Z
2) Mobile /Manulactured Homes nof assessed as Real PropeRy: Must file dunng (he hveNe (12) months belore March 31 of each year
(he deducfion is sought. C � ��
See reverse side for addifional instructions anU quali�cations.
Appliwnt (mvner or mnUaa buyer see resvicfions on raverse sitle)
Brian Alldredge and Joanna B. Alldredge
Tavng District Key number/ legal desuiption
Johnson 2E23-02-400-001.986-024/Lot 5 in Oakridge Estates Sub. Sec. A
Assas:ed vaWa of real proparty as of Mortgaga / Contraa iMabtedness unpaid as of Mongage / ConVad ind�
March 1, arte�rtyear March 1, wrtent year date ot appGCation
5199,.
If no, what is Ns I �er exaa share o( interest? I If owned vnN wmeone oNer thar
1/ name on recortl is Eifterem Nan Ihai ol appGcam. indicate bebw:
Name ot mortgagee w wnVad 5eller
Fifth Third Mortgage
tltlress ol rtwrtgagee ar mnVact se0er (num0er antl sLeet, t�ry, state.
5001 Kingsley Dr. Cincinnati, OH 45227
ame ol assianee or aNer owner or hdCer ol rtwrtaaae
AtlEress of assignee (number and sUeat city, slafe. and Z/P tode)
Does applicant wm praperty in any other If yes, what
counry in InCiana? �. �_.
1Miat Tazing Distritt?
GIBSON COUNTY AUDITOR
Rea�numhe� Pa e nyn�
6 i �>� i.'
�btedness unpaid as ol Is Iha applifam the sole
legal or equitable owneR
?00.00 ❑X Yes ❑ No
spouse, indicate wiN whom
15 Ne DropeRy in que5tion: MnuaOy Asussed
❑X Real Property ❑ MnualyASSessed
Mobile Home (IC 61.L7
Has Nis EeCUCtion been reQuesteE on property
lorcunentyeal.� �.. n
COUNTY AUDITOR
Detluction apP�'� � �e amount of:
20 20 20 20 20 20 20
Sgnature of CounryAuCitor � Counry Date (month. day. yea�
I I We certify under Ne penalry of perjury Ihat Ihe above and (oregoing information is We an0 wrtect arW Nat Ne applicant is a resiCent of Indiana and
owner I contract buyer of the aforementioned properry on date applicafion is filed �
Sign t� ure (aWne�s 1 nam ) Date (monN. tlay, yea�
j�%w 11 /30I2012
Full resiEent address of applicant ( m0er a� sbaef, city, slate, and ZIP code)
4225 E. Oak Ridge Est. Haubstadt, IN 47639
Person auNOnzed by duly eaecutetl Power ol Mwney or by IC 61.142-0] Da:e (mmN, day, yea�
Adtlress af auihor¢ed person (number and street, ciry, sfate. and ZlPcoda)