HomeMy WebLinkAboutMortgage_Krieg (2) ,....,;p., STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
:S ss FOR DEDUCTION�)State FROM ASSESSED VALUATION
s' ,;,: ° Prescribed by Department of local Government Rnanee I
File Mark
INSTRUCTIONS: �\
To be filed in County County county p g -FomiNed kits
person or by mad with the Court Auditor or Court Recorder of the coup where the pm 1 tail. N p d It
Filing Dates: 1) Real Property:Must file during the year for which the deduction is sought. � 1 '-1 Er County Auditor
2)Mobile/Manufactured Homes not assessed as Real Property Must file during the twelve(12)months ❑ County Recorder
before March 31 of each year the deduction is sought - OCT 20 7(]I4
See reverse side for additional instructions and qualifications.
AppdcanI or contact buyer a restrictions mite -side) n
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Taxing District Key number/leg.4•estxip' pupdLec7ITOrrage number
6-QQ5 �- 00 0 . I'}— GIBSON CCR1FOf°14 `{ `� 9
Assessed value of real propery as 4Mortgage I Contract i debtedness unpaid as of Mortgage I ContraU'vWebfeMrss unpaid as of le the applicant the sole
March 1,current year March 1,current year
data of ape/nation legal or equitable owner?
{/O r ❑ 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 applmnt,indicate below. Is the property in question:Annually Assessed
❑Real Property .❑ Assessed 1.1-7)
Name of mortgagee or contract seller , ••••- h 13
Address of mortgagee or contract seller(number and street,city,state,and ZIP code) K
Name of assignee or other owner or holder of mortgage a, I. "(1e .r�
Address of assignee(number and street,city state,end ZIP code) V 1 '
Does applicant own property in any other If yes,what county? - What Taxing District? ' ,6 I J�..j/
county in Indiana? I`'� - i4 g 7 1
❑ Yes ❑ No
COUNTY AUDITOR
Dedumon approved in the amount of
20 20 20 20 20 20 20
Signature of County Auditor County 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 con,ct buyer of th- . - arbor property on date application is filed. .
nature to •f t .:m, Date(month,day,year)
���2Of
F e/ -•appr.: t numbers street,city,slate,eM1JPCode)
it,f N
N . ff.-Le--1 //V/�� P R.cam✓ /� `f 7,70
Person.utl 6y duly executed of Aforney or by IC 61.1-12-0.7 Date(month,day,year)
Address of authorized person (number and sheet,city state,and ZIP code) -