HomeMy WebLinkAboutMortgage_Mcgowan } STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
•,e`_ FOR DEDUCTION FROM ASSESSED VALUATION n`
$::4-9,..d.;, Sres Form 93709 Department of L Cir\fV- -'� ��''''l�
State For by 709(R1i1/6of Loral Government Finance
0 ' -1 I i ' • n
File Mark
INSTRUCTIONS:
To be Med in person or by mail with the CountyAuditor or County Recorder of the county where the property is located. Forth utwtt� lull
Filing Dates: 1) Real Property.Must Me during the year for which the deduction is sought ❑ County Auditor
2) Mobile/Manufactured Homes not assessed as Real Property.Must Me during the twelve(12)months "'^`7r---�
before March 31 of each year the deduction is sought ❑ County Recorder
See reverse side for additional instructions and qua'li�/�`fifcc'.atiioonss.�� � ( /}�� /� ��r� � GIBSON COUNTY AUDITOR
Ap
X.200 p wrr0 qr contra�6uyer-see resniclions/��/' U///eCY�- - Y/ r �J iO (2-c- number(/yV/-fc G —
Taxing District fCey�'s�°ar/ description- - //— 60^. 65 ---603 a� a, Page�nt 38'
Assessed vale of real property as of �'(p Mortgage/Contract /4debbtetedness unpaid as of Mortage/Contract indebtedness unpaid as of Is the applicant the sole
March 1,cement year March 1,cement year date of application legal or equitable owner?
❑ Yes ❑ No
II no,what Is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of appftan4 Irdica's below. .� Is property in question:Annually Assessed
Real Property ❑Mobile y Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Address of mortgagee or contract seller(number and street,city,state,and ZIP code)
Name of assignee or other owner or holder of mortgage /j
Address of assignee(number and same;oily,state,and ZIP code)
Does applicant own property in any other If yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? ❑ Yes ❑ No for anent year?
❑ Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of
20_ 20 20 20 20 20 20
Signature of County Auditor County Date(month,day,year)
I/We certify under the penalty of perjury that the above and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owners fill name) /. Date(month,day,year)
7( O._rilnailtikkla_resident of applicant(flambe nd shee4 x111:state,and ZIP code)
Person au i •'••.•by duly exectr Power of Attorney by IC 61.1-12-0.7 Date(month,day,yeas)
Address of authorized person (number and street,city,state,and ZIP code) .