HomeMy WebLinkAboutMortgage_Greene (5)��� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
� FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
«. J State Fwm a3709 (R6/ SO6) �
.'. %esoibed by Oeperiment of Loml Gwemment Fiwnca
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�NSrRUCriorvs: APR 2 4�@��
To be fiied in person or by mail wrth the County Auditor of the county where fhe property is located.
Filing Dates: 1) Real Property: Du�ng the 12 months befoie June Il of the yea� the deducfion is to be�ctive,.�,�i �
2) Mobile Homes assessed unde� IC 6-1.1-7: Between January 15 and March 2 0/ the year � eauetryp is to be effective.
See reverse side for additional instn�ctions and qualifications. ��BSON COUNTY UDITOR
A pli M(owner oi cont2ct buyer - see strictions on rev e s��7/ )
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Taxing District � Key number / legal description Record number �v Q�
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Page number
vs�-ooy �30
Assessed value of real property as oi MoRgage / Contrad indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, current year March 1, current year owner? Q Yes � No
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If no, what is his / her exact share oi interest7 If owned with someone other than spo�se, indicate with whom.
If name on record is different than that oi applicant, indicate below: Is the property in question:
❑ Real PropeAy � Mobile Home pC 61.1-�
N^�^ie of mortgagee or contract sell '
Address of mortgagee or contract seller (number nd street, city, stafe, ZIP ----- �— -- - ---
Dra�r•er NO °2007,-, �3�
Name of assignee or other owner or holder of mortgage "
Address of assignee (number and street, city, state, ZIP code) Ca r� N� ••', ,,, GU
F�-� (,�c�-
Does applipnt ovm property in any other If yes, what county? Wh � / o S� �en requested on
county in Indiana? property for current year? ❑ Yes❑ No
COUNTY AUDITOR
Deduction approved in the amount of:
20 � 20 �_ 20 0 �(�„� 20 20 20
p '� ��
Signature County Auditor Date
I/ We certify under the penalty of perjury that the above and foregoing infortnation is We and conect and that the applicants was / were
sident oi Indiana and owner of the aforementioned property on March 1, 20
S� owners full ame) Person authorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07
Full reside a ss of applicant Address of authorized person
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