HomeMy WebLinkAboutMortgage_Paridaen (2) a.. : STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
:` FOR DEDUCTION FROM ASSESSED VALUATION � �
f� State Form 43709(R71/6-0g)
�'--- Presaibed by Department of Local Government Finance r Ij i (p
tw INSTRUCTIONS: 4.- -'L,
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To be filed in person or by mail with the County Auditor or County Recorder of the county where the ro Form filed with:
ty ic ry p peRyislocated. J Af
Filing Dates: 1) Real Property:Must file during the year for which the deduction is sought. uditor
2) Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12)months
before March 31 of each year the deduction is sought. - 9- County Recorder
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See reverse '.a for additional instructions and qualifications. _ ,!? t j;
� `' i�r j ! 't GIBBON COUNTY AUDITOR
r- nu'bet/legal desai.':. Record number Page m
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Assessed vale of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the appficant the sole
March 1,anent year March 1,cement year date of application ^� legal o stable owner?
(.N ❑ Yes ❑ No
If no,what is his/her,exact share of w.voen-- — - tt owned with someone other than sprnse,indicate with whom
Is property in question:Annually Assessed
Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
r� en a and ZIP code)
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'7�g I \Q R t county? What Taxing District? Has this deduction been requested on property
vv for current yeaR
❑ yes ❑ No
e �F�� COUNTY AUDITOR
t I �7 Gl 1/� 20 20 20 20
LJ` I v County Date(month,day,Year)
a12 19 I nd foregoing information is true and correct and that the applicant is a resident of Indiana and
,(l J date application is filed.
�/ Date(month,day,year)
ZIP code)
I;nc s--, FortBraAkc& ZJ 4(H-Ges t `
'12-0.7 Date(month,day,year)
code) A