HomeMy WebLinkAboutMortgage_Schoonover ';� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County I Township Year I
cue FOR DEDUCTIO FROM ASSESSED VALUATION
/ State Form 43709(R10/N-08)
„• .. Prescribed by Department of Local Government Finance FILED
INSTRUCTIONS: O File Mark
To be filed in person or by mail with the County Auditor of the county where the property is located. APR 2 5 2013
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2) Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12)month before March 31 of each year
the deduction is sought. )/,p/I�i1
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See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR
Applicant eerrar contract buyer-see restrictions on r verse rtl
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T ng Dis et Key Ube:/legal description 77���7 Record number Page n'umpD
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Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaic as of Is the applicant the sole
March 1,anent year Mk(ch 1,current year p(7 date of application legal oyr�e-,yqUnable owner?
Z G .7C) L�7 Yes ❑ No
If no,what is his/her exact snare of interest? r� ( If owned s ith someone other than spouse,indicate with whom / `
If name on record is different than that of applicant,indicate below.: Is the property in question:Annually Assessed
El Real Properly ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
fee of mortgagee or contras seller
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Addre of mortgagee or contract seller(number and streeIt,city,state,`and yZIP cod ) 1//� /� / Q�1
Name P. C .ee ee��er yeroof=image {t P\c1'r I �• \ �I OLSpir tn�• `-f-7541
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Address of assignee(number and street,city,state,and ZIP code)
i I Does applicant own property in any other If yes,what county? What Taxing District? Has this deduction been requested on property
county in Indiana? fa current year?
❑ Yes INo al Yes ❑ No
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COUNTY AUDITOR
Deduction approved in the amount of: .
20 20 20 20 20 _ 20 20
Signature of County Auditor I County Date(month.day.year)
I 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.
gn tore owner's full mei I Date(m h.day. rr)
Full res. ent a ress of applicant(number and steer,aty, • e.and ZI ode) -
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ow
Person authorized by duly executed Pof Attorney or by IC 6-1.1-12-0.7 I Date(month.,day.year)
Address of authorized person (number and street,city,state,and ZIP code)