HomeMy WebLinkAboutMortgage_Gonzales (2) s. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
.` ` FOR DEDUCTION FROM ASSESSED VALUATION
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nto g I ED
�- Presafied by Department of Local Government Finance
INSTRUCTIONS:
To be filed in person or by mail. filed w the
Ring Oates 1) Rea]Property.Must be completed and dated in the calendar year for which the deduction is sought NO 8. 701 F
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is n Auditor
located on or before January 5 of the immediately succeeding calendar year. ci 2) Mobile/Manufactured Homes not assessed as Real Properly Must file with the County Auditor of the county I . g ' . Re e...er
where the property is located during the twelve(12)months before March 31 of each year the deduction is sough, ' ••-.•••
Seereve side for additional in ' s and qualiifications. GIBSON COUNTY AUDITOR
Applies ( ner ors- •-d buyer- ,,}(�/' ' s on rave ) rJg
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value. property as of Mortgage I Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment. �= year assessment date,parent year date of application 5 legal or equitable owner?
❑ 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 belay. ` Its property in question:Annually Assessed
Real Property ❑ Annually Assessed
6
/ • Mobile Home(IC 6-11-7)
Name of mortgagee or contract seller �2
Address of mortgagee or contract seller(number and street dty,state,and ZIP code)
Name of assignee or other owner or holder of mortgage aegg �1�J Address of assignee(number and sheet cdy,state,and ZIP code) ////�� /2,,, Ci
Does applicant own property in any If yes,what county? What Taxing District? Has this deduction been requested If yes,state amount of deduction
other on property for
in Indiana? Yes ❑NO current year? ❑Yes ❑No
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or contract indebtedness that is recorded in the county
recorders office(including any home equity fine of credit that is recorded in the county recorder's office)that is the basis for the deduction.
_ COUNTY AUDITOR
Deduction approve
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20 ) 20 20 20
Signature of Coup / ( - /d SY -County Date(month,day,year)
I/We certify I information is true and correct and that the applicant is a resident of Indiana and
owner I cent dion is filed.
tSigrpatore( full nem% Date(month,day,year)
g 17,Futtrresident ad of app5cant� bey and steel, LP cede) n.
ic H+5— � tl X. Y � � Y� Xi(/ 1t7eCorJ
Person authorized by duty Power of Atiomey or by IC 6-1.1-12-0.7 U Date(month,day,Year)
Address of authorized person (number and street city,slate,and LP code)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,000.