HomeMy WebLinkAboutMortgage_Goedde f: STATEMENT
DEDUCTION IO MORTGAGE S ES OR CONTRACT INDEBTEDNESS Year
!'��,;;`; FOR DEDUCTION FROM ASSESSED VALUATION
`_.c State Form 43709(R11/609)
C , t., Pr e;aibed by Department of Local Government Finance
File Mark
INSTRUCTIONS: MAY I s '
To be filed in person or by mail with the County Auditor or County Recorder of the county where the property is located
Filing Dates: 1) Real Property Must file during the year for which the deduction is sought . — Auditor
2) Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12)monT• • / .j
before March 31 of each year the deduction is sought - • •grtti l: County Recorder
See reverse side for additional instructions and qualifications.
GIBSON CO . I■ • ?
ApplI nt •. - or contras buyer-see on reverse
Z,
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Taxing Oistrirl Key nu /legal desolation Record num` Page number
Pe numb
ab - 18 - /5 - /06 - OOd. 688 - OA./ 9.oi , 38 .1.6
Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
Month 1,• •r year March 1,current year date of appDcation legal or equitable Amer?
60 0o0 ❑ Yes ❑ No
If no,what is his I her exact share of interest? / If owned with someone other than spouse,indicate with whom
It name on record is different than that of applicant,indicate below. Is the property in question:Annually Assessed
❑Real Property ❑Annually Assessed
-
Mobile Nome(IC 6-1.1-7)
Name of mortgagee ac contract seller
Address of mortgagee or contract seller(number a street,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 cede)
r s NA.) /5-.3 -i1 A - S7-5AC
Does applicant property in any other If yes,what county? What Taxing District? Has deduction been requested on property
El Yes 0 No
❑ Yes ❑ No
COUNTY AUDITOR
Deduction approved in the amount of --..
20 20 20 20 __________
Syca of County Auditor r - _ , - —
Drawer NO.. �
I/We certify under the penalty of perjury that the above and foregoing information is tm /y /•
owner/contract buyer of the aforementioned property on date application is filed. Card NO l ( )•'V -, ":(owner's the none) •• of JAL,•
7 310e° i sic /( h'r7 clnog - 4/ '77 y8
Person authorized by duty executed Power of Attorney or by IC 6-1.1-12-0.7 ' Date(month,day,year)
Address of authorized person (number and street arty,state,and LP code)