HomeMy WebLinkAboutMortgage_Krueger STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
f -I; FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 Department 609) I L 1
Prescribed by Department of Local Government Finance ��
—Fie ark
INSTRUC710NS: 1 �d -_
To be filed in person or by mail with the County Auditor or County Recorder of the county where the property is',Jig 1 r. FOib IY with:
Filing Dates: r) Real Property.Must file during the year for which the deduction is sought L U❑ County Auditor
2) Mobile/Manufactured Homes not assessed as Real Property Must file during the twelve(12)mo9(hs
before March 31 of each year the deduction is sought - /)/ unty Recorder
See reverse side for additional instructions andqualifications. GIBSON COUNTY AUDITOR
Applicant owner or contract buyer-see restrictions verse side)
• L
Taxi •District /• c Key number/legal desaipti Record Page number
l' b - / 7-0/ - ,30D - 001. 55 A -0 A / d 1718
Assessed value/seal Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant the sole
Mardi 1,current year Or March 1,cement year date of application legal or equitable owner?
a0 Do 0 El 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 the property in question:Annually Assessed
❑Real Properly ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller ,w • /l
Address of mortgagee or contract seller(number and street,dry.state,and ZIP code)
Name of assignee or other owner or holder of mortgage
_
Address of assignee(number and street,city state,and ZIP code)
KIUEGER, Cg R.ISTY M
Does applicant own property in any other • If yes,what county? • What Taxing Dist
county in Indiana? I ^ I tl
❑ Yes El No I lB
09
COUNTY AUDfTOR
Deduction approved hi the amount of
20 20 20 20 20 )I 20 I 20
Signature f • •• County Data(month,day,year)
�f"T'i-tom
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 of the aforementioned property on date application is filed.
k ^ ' , Date(month,day,year)•Full resident parcanty�umber and-.--4 •ir -..te,end ZIP code)
......\,,,.....- -10/017 V . 3kork ' • • n . Qul.encuiIIe 1 Tel 476 (DC
Person authorized by duly executed Power of Attorney or by IC 6-1.1-12 .7 Date(month,day,year)
Address of authorized person (number and street,city,state,and ZIP code)