HomeMy WebLinkAboutMortgage_Foster1
�
"'�v STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS � ovm i r
_. • FOR DEDUCTION FROM ASSESSED VALUATION
� � ' Sfate Fwm 43709 (R71/6-09) �
S,,,, � Resaibed q' DeO�ttl of Laal Gwemment Fnance
wsrRUCnoNS: DECF� ���Z
To be hled in erson or b mad with the Coun Auditor or Coun Reco�der of the coun where the ro F� m� ��'
P Y N �Y A' P PerfY is located. C;I.
Fdirg Dates: 1) Real Pmperty: Must file durirg the year for which the deduc6on is wught. � Audhor
2J Mo6Be /Manufactured Homes not assessed es Real Property: Must file dunng fhe hvelve (72) months �"j 'G� R�rd
6eforeMarch3lofexhyearthededuclionissought - GIBSONCO'UNi7q 7pq ef
See reverse side for addilional insfructlons and qvalifications.
�ed rdue ot mal p`operty as N
1. aaient year
/ 1e9a1 dcwiption
i�5 —uc7— � r�c� —ciuci�
Mo�t�age! ContraU IndebteErress unpaid as of
Ma�d� 1. currem yrar
/N� � �
If no, what Is his! her e�f1 share of interesl? I tt owned wiN mmeone oMer
If r�artre m remd'a E'i.YrJent Nan Nat of aOpOCant, uM'wate �ebw
Nameofmortgagee« sWet �Q ^ / —
// L
// /�!C�
Add2s of rtort�a9ee or mnhacl seller (number and stree; crty, state. aM ZIP mde) . - � S
Name N assignee or aher ownu or hdder of mortgage �� �
�j5�� /�
Addrnss of assignee (nvmberaM s1ree4 a1Y. sbie. ard LP code) �/, I� p�
1(. �/
Dces epD��nt a�+� properry in any oMer It yes, what c
O I
counry in Indiana? ❑ YE5 ❑ No
Remrtl mm�he+ Page � �
GG
btedness unpazf as of Is Ne app0ont the sole
kgal or equipWe ameR
'�(� � ❑ Yes ❑ No
spouse. indicate with xAnm
�WoPeMY in QueStian: MnueAy A55essed
e� a�oaenv ❑ av»u�y w�s�ea
Motae i-tome pc Cr1.t-i
�
¢tion been requeSteE m P�Y
_aY! n Yrs ❑ No