HomeMy WebLinkAboutMortgage_Wilson (10).�* °•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
. FOR DEDUCTION FROM ASSESSED VALUATION
Siate Form 437W (R8l 2-07)
�° ;•�. � Presrnbed by Department of Local Govemment Finance
File MaAc
INSTRUCTIONS:
To be filed in person orby mad wifh the CountyAuditor o/ fhe couirty where the pmperty is located. M/�Y Z 2 Z���B
Fding Dates: 1) Real Properfy: Dunng the 72 months belore June 11 0/ the year the deduction is fo 6e elfective.
2) Mobi7e Homes assessed under IC 6-7.7-7: Behveen January 15 and March 2 of the year the deduction isl�n b7e eflec6ve.
See reverse side for additnonal instructions a� qualifications. U•� 6� ��
C/
Aodicant (owner o�nfrarl dryer - see relLicfims m reverm s ,�
vWue of mal
imber / legal desaipli
aarent y�r Mong:
if 1ame m recwd is diRerent than Nat of applicant, indipte belav:
Name of mortgagee or conUaa seller
�
Address of mortgagee or mnlrad seller (numberan0 eet. dty, slafe. arM
Nartre of assigrree d alher owner ar hdder
Dra�ver NO..�..4..-. a..y.y� o
C�1'Ci �'� . ............
Pi�]
SigruW ra ot
' • �
� / (/ r'�
Record n mber Page nu
- Qa. o; � oc�s D�
irad intleWedrress unpaid as ot March 1. Is the appfionl ihe sde Iegal w equilaMe wmen
� Yes ❑ No
wmed wiU� someone olher Ihan spouse. i�cate with whom.
�
Real
Wfat Tex'u�g Disiricl?
20 I 20
in questim:
:m ❑ Moti,e Fi«ne nc G
,����
❑Yes ❑ No
Dale (month, day,
20
I/ We cerufy under the penalty of perjury Uiat Ne above and foregoing infwrna6on is true and wrrect and that tlie applipnls was I were a resident of
Indiana and owner of the aforementioned property on March 7, 20
�aLue (mme(s 7ull name) .. ` , ` . . Dale (monN. daY Y��
Pawn aut}rorized
a by IC G7.
persm (number aM sheet aty, state, and LP oode)
�