HomeMy WebLinkAboutMortgage_Williamson (7) t . STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Cain Township Year
ai FOR DEDUCTION FROM ASSESSED VALUATION
sioeState Farm 43709(RU/609)
Prescribed by Department of Local Government Fifafre 1 1 i-1
INSTRUCTIONS:
To be filed in person or by mail with the County Auditor or County Recorder of the county where the property is located. Font filed
Fdmg Dates: 1) Real Property Must file during the year for which the deduction is sought DEC 3 0 013 County Auditor
2) Mobile/Manufactuured Homes not assessed as Real Property Must!fie during the twelve(12)nron s
before March 31 of each year the deduction is sought - ❑ County Recorder
See reverse side for additional instructions and qualifications.
0
(• _ or contract buyer-(/ l(w // ] Q1nreersesde) GIBSON COUNTY AUDITOR
•
Taxing Disc'. Key number/legal description Reazd number Page number
M. - air /9-/P- 3oi- ooO . , 1. 3 - oa- C o/3 J17O3
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the apprram the sole
Mardi 1,anent year March 1,current year date of application legal of equitable owner
S 3 coo ❑ 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 appOcarrt indicate below: Is the property in question:Annually Assessed
❑Real Property ❑Annual yAssessed
• Mobile Borne(IC 6-1.1-7)
Name of mortgagee or contract seller T G Li
Address of mortgagee or contract seller(number and sheet city,state,and ZIP code)
•
Name of assignee or other owner or holder of mortgage
7b_, of ynce(number and street,ray,state,and IP code) - -
ip� t' 70 /9 � nurfis b uTiLI ∎CLMS09
Dees applicant own property in any other If yes,what county? • WI �111 e openly
county in Indiana? ❑ Yes ❑ No g MQh$V t 114-- 4Cf'7e r S FFO • e, t!, ❑ No
Drawer NO ace
COUNTY AO
Deduction approved in the amount of C 7c)3
20 20 20 20
Card NQ. JSl/ O
I 1 I
Signature o� Au
of County Audiittor County Date(month,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/contract buyer io
r of the afweruentned property on date application is filed.
L./ Zs tun neie) , Date(month,day,year)
Full resident address of applicant(number and di! e,and ZIP code)
3io E T,4.. si g,L-.�
1 y>6y8
Person authorized by duty executed Power of Attorney or by IC 6-1.1-12417 Date(month,day,year)
Address of authorized person (number and street dry,state,and ZIP code) .