HomeMy WebLinkAboutMortgage_Iunghuhn (2) tail ,:... STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION /
f: State Form 43709(R11/609) '"',
Presaibed by Department of Local Government Finance N
File Mark
INSTRUCTIONS: FFC 2 6 Qel'11,
'
To be filed in person or by mad with the County Auditor or County Recorder of the county where the property is 10 0c eU. 1ed
Filing Dates: 1) Real Property:Must file during the year for which the deduction is sought. 0 County Auditor
2) Mobile/Manufactured Homes not assessed as Real Property Must file during the twelve(12) ths„ p-1�un Recorder
before March 31 of each year the deduction s sought e`v';",4{- 13 Co ty
See reverse side for additional instructions and qualifications. GIBSON COUNTY AUDITOR
Applicant ar or contact buyer-see re/tr/itionson rse side) I
T ' istrtct Key number/legal desaip' Record number Page number
tt2I ab •O5 -3ayouo _oo /. /89- 0 022 a)13 lot, -7 0
Assessed value of real property as 4 Mortgage/Contract indebtedness unpaid as of Mortgage/Connect indebtedness'unpaid as of Is the applicant the sole
Mania 1,amnt year March 1,cement year data of apprration I legal Of equitable owner?
171, coo i ❑ Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with wham
i
If name on record is different than that of applicant.indicate below. Is the property in question:Annually Assessed
❑Real Property ❑Annually Assessed
I Mobile Hate(IC 6-1.1-7)
Name of mortgagee or contract seller
Address of mortgagee or contract seller(number a
ct street,city:state,and ZIP code)
I
Name of assignee or other owner or holder of mortgage ,, - - - — —
aedP of assignee(mummer and aaaaL my,state,and ZIP code) c/g7/ A t Drawer I-a„C I
co° .
PT sE 3 r -/-i Q /
Does applicant own property in any other I If yes,what county? • What Taxing Districtl ../ �-I n
county in Indiana? /1 l/!r -(f,—w/
❑ Yes ❑ No Card NO. K
COUNTY AUDITOR
Deduction approved in the amount of
20 20 20 20 20 20 20
Signature 'tor I ' County Data(rtcwh,day,year)
I 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.
`—SKa6®ro(owners tact roeranre SILL I Date(month,day,year)
,v , l/LIIt resident/� t/ address of applicant(nu rr and steel city,state,and ZIP code)
12i 5- E. 200 A/ P2inteh- 1/V 97670
Person authorized by duly esecoted Power of Attorney or by IC 1.1-12-0.7 : Date(month,day,year)
Address of authorized person (number and street,city,state,and ZIP code) .