HomeMy WebLinkAboutMortgage_McCrary"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Y y
:._—
= FOR DEDUCTION FROM ASSESSED VALUATION
• State Fwm 93709 (R71 / 609)
�� Presaibed by Departmertl af Loml Govemment Finance
File
INSTRUCTIONS:
To 6e lled in person w by mail with Ne CounfyAUdilor o� Counry Recorder o/ fhe county whe2 fhe property is focated. F� �� ��:
Filing Dates: 7) Real Property: Must file during fhe year for which the deduction is sought. � III���
2J MobAe / Manufactured Homes rat assessed as Real Property. Must fiie dunng tAe fweHe (12J months r\
before March 37 of each year the deduction is sought ��^�Y �
See 2verse sida /or additmnal insfrucGons and qualfications. '
Appfxanlsp`riar oroonvaft 6uyner- see r�MCBO�xt o� reverse sitle) � C n
�
Ta/b�/p Distrct Key�wmCer/legal0esaiptionp.
l" ' 'Z O'��0 ' ��(
Assesse0 rdh�e d rnal property a d MoRUage / Contraa "v�tlebtetlness unpaid az of
Ma�di 1, t�ie�ent yar Mara� 1, wrtem year
I 0
I( rw, wha� is his I her exact share Of interesi? If owrn
It rame on recwd is dMerent ihan Ihat al apP��L �d�mte below.
IJame al rt�ortgagee or
Address
stae,
ownerar
(num6er aM streef, dry, slate, and ZIP code)
I � '
sorneorie
Oces e�irant own poperty in any oNer I I( yes, what wunt�? I VJhal Ta�drg DistriC?
munry m IrWiana?
❑ Yes ❑ No
Recwtl
uWebtedness unpzid as d is ihe ap�t Me sNe
legal w eQUilable owm.Y?
❑ Yes ❑ No
han spouse. iMinte wiih whom
Is Cie P�P�Y in Cuestion: MnuaM Pssesse0
�I Roperty Q Mnually Pssessed
Mobile Fiane (IC 61.
Has U�is deduGion Deen requesle0 rn PropenY
for curtent yeaY.� r-� ._ r�
COUNTYAUDROR
DeGUCOm appfo.�ed'm ihe amouN of.
� 20 20 _ 20 _ 20 20 20 _
�
Sig�awre o/ Co�mN Audiior Counry Date (imnlh, daY• Y��
I/ We cert'rfy under the penalty of perjury that the ahove arW foregoing infortnation is true and cortect arW that Ne applipnt is a resident of IrWiana antl
ovmer I mntract buyer of the aforemeMioned property on date applirabon is filed.
(owreh hAname) Date (nmN. daY. Y��
�, m -is-►►
Fuil revtlent address of appfrcant (numDer and sbeef, tity, state, and ZIP aotle)
a l� s � s E A K�a o r�- �( � ��G o
Person auNO'rzetl by dWy ezeaitetl Power of Attomey or try IC 61.1-12-0.7 Date (rtronN, tlay, yea�
Adtlress o( auNa'ved persai (num6er aM stree; fi(y, sb(e, aM LP mde) .