HomeMy WebLinkAboutMortgage_Kifer DULY ENTERED FOR TAXATION
STATEMENT OF MORTGAGE OR CONTRACT IN Ir WI to finalr€saetttance or jtfoas!er
Lotew FOR DEDUCTION FROM ASSESSED VALUATIO 1 l da of
State Forth 43709(R11/6-09) y
Prescribed by Department of Loral Government Finance •
INSTRUCTIONS: AUG 8 2013 I; 41177P, Auditor
•To be filed in person or by mail with the County Auditor or County Recorder of the county where the property is fed
Filing Dates: 1) Real Property Must file during the year for which the deduction is sought t(nnr�/'o,y rce1 # C .. . .
2)Mobile/Manufactured Homes not assessed as Real Property Must file 7�' )months
before March 31 of each year the deduction is sought. Illwww"' ❑ County Recorder
GIBSON COUNTY AUDITOR
See v reverse side for�additional instructions and qualifications.
Appfica (owner?Ton r ` 9s s a idere �L /// / , t>!V
�4V)
axing D U Md— Kaber/,gal deUpdon rif number Fagr/—a— — c 500 -0OC1 . /Yor? -Oo2—/ nu be
Assessed of real property as of Mortgage/Comma indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the appricant the sole
Marsh 1,anent year March 1,cement year date of app6ye�r1 �� legal ❑ Rabe❑
,// 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 applicant Indicate below-. is lath property in question:Annually Assessed
Real Property ❑Annually Assessed
• Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller j
co
Address of mortgagee or contract seller(n and street city,state,and ZIP code)
Name of assignee or other owner or balder of mortgage /� it / -J_// 4,e,
Address of assignee(number and street city,sore,and LP code) �`/'/ �j[/•(-J (J//
Does applicant own property in any other If yes,what county? • What Taxing District? Has this deduction been requested on property
county in Indiana? for current year?
❑ Yes ❑ No ❑ yes ❑ No
COUNTY AUDITOR —
Dedudion approved in the amount of.
20 20 20 /I/ '—_
Signature or County Auditor • '—
'
J v �0•• to(month,day,year)
,‘
I I We certify under the penalty of perjury that the above a •• nt is a resident of Indiana and
owner I contract buyer of the aforementioned property on t \�
Sawnees full rla 011:6. Data(rtondl,day,Year)
Ftdl resident address of applicant(number and street, site,and ZIP,
X 57SRZ W sSD S o. , d- , j 4766 - - -
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12-03 -, , Date(ant,day,year)
Address of authorized person (number and street city,state,and ZIP code) .