HomeMy WebLinkAboutMortgage_McGraw r tc°_ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
• '',.:.�,-State Form 43709(R11/6-09)
Prescribed by Department of Local Government Finance
INSTRUCTIONS: fi�p1 q
To be fled in person or by mail with the CountyAuditor or County Recorder of the county where the property is located. F .I l I ly 1 2.203
Filing Dates: 1) Real Properly Must file during the year for which the deduction is sought. Lu1_ County Auditor
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 E Caun it-=:i
1,4", wiliiiINMei
See reverse ' efor additional instructions and qualifications. GIBSON COUNTY
AUDITOR
Applicant or contract buyar-see 0^reverse Fide e n n ' ''
Taw i � G � description —Record
I6 006 . 0/. -V ? -6a 9 /3 Page J
Assessed valve of real properly as of Mardi 1, /contra indebtedness unpaid as of date of application/Contract indebtedness unpaid as of Is the equity t the sole
e
March 1,anent year Mardi 1,amens year date o(apdioatlon„ legal ore Yes El N
!/"I/ ❑ Yes ❑ No Cin
If 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 applicant.indicate below: Is the property in question:Annuaay Assessed
Real Property ❑AnnualyAssessed
Mobile Home QC 6-1.1-7)
Name of mortgagee or contract seller '�/'�`i��
Address of mortgagee or contract seder(number a stria,and ZIP code)
Name of assignee or other owner or holder of mortgage / `/
T 45W /o —02 — // . 7 g 7 4C%
Address of assignee(number and street city,state,and ZIP code)
Does applicant own property in any other If yes,what county? . What Taxing Dsbict? Has this deduction been requested on property .
county in Indiana? ❑ No far norms yeah ❑ Yes ❑ No
❑ Yes
COUNTY AUDITOR
Deduction approved In the amount of
20 20 20 20 I 2D�/ I '2,r0'j _ I _20_
Signature of County Auditor • I In e K OQk' ii. L `
I I We certify under the penalty of perjury that the above and foregoing inform: ' '— L liana and
owner I contract buyer of the aforementioned property on date application is fi
(owners NO name)
(\ . II `_t(nu -- . 13- 13 aq
Full —:•ant address of applicant(number and�b ,cdy,state,and ZIP code)
7\ 1 3113 aS /OO CA . t'.P;tyl 4-73 A) L2�it
Person authorized by duly exeated Power of Attorney or by IC 6-1.1-12-0.7 - -
I
Address of authorized person (number and street ray,stale,and ZIP code)