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HomeMy WebLinkAboutMortgage_Jones T. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year . 0 FOR DEDUCTION FROM ASSESSED VALUATION �_- ° y Stara FOnnby Department of) Prescribed b)'Depam:tem o(Local Government Finance INSTRUCTIONS: IF I I E ,`� File Mark To be filed in person or by mail with the Court Auditor or County Recorder of the court where the property Form tiled Y County b county P Pent is located. Filing Dates: 1) Real Property Must file during the year for which the deduction is soug()t„,m n"' ) County Auditor 2) Mobile/Manufactured Homes not assessed as Real Property:Must fit 12)months before March 31 of each year the deduction is sought • County Reorder See reverse side for.;!'d':•nal instructions and qualiAs4ns. , • 2 �_ ��'/l�I�. i iv.. inn. T� � 4 GIBSON COUNTY AUDITOR /fl � , i ' Key number/legal d-; / �, Retort) Pager l � I i OS/a- ,r)5-m /89-©l7 o' O A s s e s s e d value of real. .... a s of Mort gage/Contract indebtedness unpaid as of Mortgage/Contact indebtedness unpaid as of Is the applicant the sole Math 1,current year Math 1,arnent c/�O date of application legal or equitable owner? J(�O ❑ Yes ❑ No 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 appfthant.indicate bed' Is the property in question:Annually Assessed ❑Real Property ❑Amwally Assessed • / Mond Horne are(IC 6-1.1-7) Name of mortgagee or contract seller A Address of mortgagee or contract seller(number and street city,state.a _code) �� /7 Name of assignee or other owner or holder of mortgage ( _< T �� / /`/ /�I�L/I1 J Address of assignee(number and street,city,state,and 2I •- — `�J11tj 1, 1`V Does applicant own property in any other If N t deduction been requesteed on property _ county in Indiana? ❑ Yes ❑ No � ❑ yes ❑ No • Deduction approved In the amount of. DLO � ' . 20 20 ZtI $a ,`W v �� I 20_ 20 1 lJ Sigra d•I f Data(month,day.Year) 4LL. 1 . .e..A 2] /), I I/' e certify under the penalty of perjury that chi I v �� (applicant is a resident of Indiana and owner/contract buyer of the aforementioned pri nabare(cone Mi me) I Date(month,day,year) t a and sh- resident address applicant berand street,wry,state,aand LP code) Person authorized by duly executed Power of Attorney IC Et. .7 A Z le taA, t Ac � 7 4 'i O Date(month,day,year) Address of authorized person (number and street ci state.and ZIP code) .