HomeMy WebLinkAboutMortgage_Clark „At*, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count - TOv trtJT Year
f\ti f4.lk,,f2L, ,1) FOR DEDUC
TION FROM ASSESSED VALUATION
1a) I '
'..!1)) Gibson Center J 2020
,!,..,. ., presmitted by Depattnierit of Local Government Finance
FUe Mark
INS riWC:PONS le he tiled al person or by mod. —
Form Neff Isttbi
1.1'i/ht.°Dale Atari riida bo COMAitetf illuirfatod to the calendar yor ter which the deduction is solicit& E County Auditor
&first Ort Mod Of posenarftud aid;die County Auditor oi-County Recorder al the cOurdy i'flan,the papally is
fondled on or Moro J4nodry 5 et Old calendar year In which the properly Wes are lira aue mi.payahlo 0 County Recorder
Sea invecat 141k1 for additional'4r:1am/ions turd qualifications. .
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Applin.tof(wArkfr or milow•I r.eyer,Ago Toth-Vona Oennevre We)
Ramon Genolivrine E.Clark 812-604-4192
Maud'rummer Page nernhor
Cantor 2G-13-21-100-000.469-004 2,020-4V3 f
;:i;„7,,i,;q;It;11 prat-potty as of---- MN aim i Cont,ct tiaTiblerinuss unps`id et Of Molt,:400 I Ctinllatt indebtadua34 unpaid us of IS the ilePhcantmo dote
ig.4,1,sigrwilt deo,commit vow 11110R6111Mi date.current yeat date cif oppfednon tepid or ettistabla rrener?
$114,000 j2 Yes 0 No
'ii;;;;;ttait,-itii,citior 1,;:ect?Awe doltoroAl? — ------ tt wood with AontOono fathoi than spootnt,indicate.voth-v-,bom
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II oreye Ott foogiiItt ainfoafiiiffaaifirf of applicnnt.indiento 1,44.16, to MO property in goostion:AnnualiyA55(rXVId
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' • - . . . . . „ „ _. . ' ' - Mobile Horne(ICDA,1-7) 1
"i-17rtiti7ir n-i. o-Wi coniract*cit.* -- -- ,
Evansvilio Tenchors Federal Credit Union
kiiird4,,of mortgagee or conedir softie steamer ariZettuf;coy,este,and itilt codisic -
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Drawer NO Z020 - 70-73"b"°^toluolleo t ye5,-stAti
0 Yes 0 s trliTOR l
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A POCS'011 iI.;Mt omitted Id tiiis audio )ntract lade ikaaettal, e6rded in Ma County
tecteder's offico(including any hota that 10 ' ror the deduction.
Card NO.
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7,,,i,„:,;-,:, ,tiea-arliy/11,!:10.of Caualy ,- gala finnnItt day,pal, ',
Gibson......_ _ , ._ ,.. . 1--
r 6 comfy under the pommy el perlury that lhofttovc and foregoing information is true and correct and that the applicant is a resident of Indiana and
owner t contract haw of the aforementioned pro sly on date application is filed.
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dom.%of appwinl(nudibor and Vtuat.-Cay,athio,aad Z./Pc-ado) .
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7566 E SR 64.Francisco,IN 47649
t,y,ii,Ty';;;AltetiTrowcti af Attcinfayor by IC,6.1.1.1200.7 -6:14,(nonlik da'i,yoat)
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Widrelt of at 'mired rtaTfTao (maitre and sdrs,ot,my,state,and ZIP CA(N)
\.The ponridies tot per/try can Include imprisonment up to two and a half years and a him not to exceed$10,000.
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r*---- RECEIPT FOR FIUNG STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Narrhtiei-f modoono or contract coffer
Ramon Gene/Lynne E.Clark 812-664-4192 jEvansville Teachers Federal Credit Union
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-Oak;rwxii,;10i;atit day.rani --- Alumni at rndestedness— -Using District
$114,000 Center
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'Kay ellittiber/714:11 duscapton
26-13-21-100-000.469-004 ;
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of CounITATAtier i CaffrItcR;foxdor County 74'Ate(mole,day mu)
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GIBSO)N COUNTY Ati'ilToR