HomeMy WebLinkAboutMortgage_Huntsman F--��� ��_. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS I County Township Year
t
FOR DEDUCTION FROM ASSESSED VALUA IL E
' State Form 43709(R11/6-09)
Prescribed by Department of Loral Government Finance
File Mark
INSTRUCTIONS: DEC 1 3 2013 veillt
To be filed in person or by mail with the County Auditor or County Recorder of the county where the property is located. Fore filed
Filing Dates: 1) Real Property:Must fife during the year for which the deduction is sought Auditor
2)Mobile/Manufactured Homes not assroced as Real Property Must fil�}furirg M�h {12rmonth i County
before March 31 of each year the deduction is sought X(6'(p/(y�gJyK� ❑ County Recorder
See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR
Applicant(• lir- ,..-buyer on re side)
•
¢ number description Record number Page number
ICS C ail-3cC G>^a. i 74-0 all 13 6310 V
Assessed rape of real property as of Mortgag 4Cantract indebtedness unpaid as of Mortgage/Contras indebtedness unpaid as of Is the appfirant the sole
If no. his!tree exact share of interest? Marsh 3F0 tr owned whh ofsomeoo other than spouse.Indicate whh whom ❑ Yes ❑ No
If name on record is*Parent than that of applicant Indicate below Is the properly in question:Annually Assessed
❑Real Property ❑Annually Assessed
I Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller e' ^0
Address of mortgagee or contract seller(number and saee4 city state,and ZIP code)
__ .e..rr holder of rnongage
4Li UT3✓nAu, C4 ALS Ai 4
Id 6310 Taxing q runty? • What Tang District? Has N deduction u been requested on property
LP for anent year?
El Yes ❑ No
COUNTY AUDITOR I
20 20 20 20 20 20 20
Signature of Co ay door i� ' County if 1, 4 A I Date(month,day.year)
. 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 I contract buyer of the aforementioned property on date application is filed.
Signature(q/ <7� / / Date(month,day Y�0
hit resident aidress applicant(n r a strceC state,and ZIP code)
\o aoz pus N�,�I/S* Aktr/ Ji4 '17h(vh
Person authorized by duty executed Power of Attorney or by IC 6-1.1-12-0.7 Date(mdh,day,year)
Address of authorized person (number and street,city,state,and ZIP code)