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HomeMy WebLinkAboutMortgage_Malotte STATEMENT OF MORTGAGE OR CONTRA E D S County I Township Year '_'�sr ; FOR DEDUCTION FROM ASSESSED T N t:Jt State Form 43709(RU/DEDUCTION) FROM Prescribed by Department of Local Government Finance INSTRUCTIONS: JUL 3 1 2013 File Mark To be filed in person or mad with the County Auditor or County Recorder of the county where the properly Form�7-�I with: Pe by N ry h P Pent located. t� Filing Dates: 1) Real['wetly:Must file during the year for which the deductlo sopgh� �� County Auditor 2) Mobile/Manufactured Homes not assessed as Real Prope frt Iy, iijr:1i7:•e twelve(12)months before March 31 of each year the deduction is sought ❑ County Recorder See reverse side for additional instructions and quaf GIBSON COUNTY AUDITOR dons. ` n ((L _ r' ' Key T. I-.. desorptio�n 1 /vim Record lrr Page number 'slue of\nail property as of I Mortgage/ ct Indebtedness unpaid as �Mortgage Cordon l• �/ the applicant the le March 1,accent year March 1. M171-9-000 date of app ❑ Y ❑ oN If no,what's 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 appkoant,indicate below Is the property in question:Annually Assessed ❑Real Property ❑Annually Assessed Motile Home(IC 6-1.1-7) Name of mortgagee or contract seller / el %J.1 1 _ Address of mortgagee or contras seller(number and•`-4 city,state.and ZIP code) Name of assignee or other owner or holder of mortgage Address of assignee(number and street,city,state,and ZIP code) f � 1 ' ^ 0Q� Does applicant own property in any other If yes,what county? • �v)) '`�I /— 1 �J� county in Indiana? ❑ Yes ❑ No Coy J" -ialThn f a-00 Deduction approved in the amount of — 20 20 20 2C tyAadith — C'�C a©-13-330 I/We certify under the penalty of perjury that the above and foregoing owner I contract buyer of the aforementioned property on date appfra /_H_�o_ _C CL, hd name) e j hill resident of applicant(number and street aty,state,and ZIP code) 1g93 (c,t ‘;€err. Dr- //a✓bs{cdf •I Person authorized by duty executed Power of Attorney or by IC 6-1.1-12-03 - -I Address of authorized person (number and street ay,state,and ZIP code)