HomeMy WebLinkAboutMortgage_Stocker"^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
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S � Resrnbed M Depahment d Lacal Govemmerrt Firence
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INSTRUCTIONS:
To be tled in person or by mad wRh the CourrtyAuditor o/ the courrty where the pioperfy is bcafed.
Fding Dates: i) Real Property: Dunng Ure 12 monMs be(ore June 17 d the year the deduction is to be e/fective. � C T 1 6 ZD � 8
2) Mobile Homes assessed under IC 61.1-7: Behveen January 75 and March 2 o/fhe year the deducfion is to be efierlive.
See �everse side Ior additional instructions a�d qualifications./� -
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fwdicant(amerormnhad -see mreve sid n ✓1 . _ � _ _ _ �..,..� ,...��.�r.. .��niTnc
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Assessed Vdlue of real popertY as Qf Mamh 1. al2frt ymf
is his / her ezact share d irrteresl?
remrtl is diflerenl lhan Ihal
Name of morlgagee o�
�a�-(00-��-
rtract indeWedness unpaid as af March 1,
�OSOO� 106�°°
I(owned wilh someone dhe
Adtlress of mortgagee d oonirad seller (num6ar arrd.9reeC o'ty. sfafa. aM ZIP oode)
Name of assgr�ee a olher owner a Mder d moAgage
Addrass of as9griee (rnuMer and s7reet. dty, sfafe. aM LP oode) .
ooes appi�ant own popeny i� ary wner
cauNy in Indiaria?
❑ Yes ❑ No
De�uction appmved in Ue amaunl oF:
;��
I / We certify under
Indiana and owner
aullror¢e0 by duy enecuted
Address of auUwnzeE persan
Is Ihe
spouu,
a (J / P���
a
Ihe sde legal or equitaae owirer
❑Yes ❑No
: vri�h whom.
is Ihe property in queslian:
❑ Reai Pmpetty ❑ Mobile Home (IC fr1.
If yes. whal counry?. - � \ O �`..� �
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ean
❑Yes �No
20 20
' I Cou��.�"�� � Date (rrmth. ea�
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of perju t Uie above and foregoing infamation is We and corred and tlwt fhe applirants was / were a resident of
nention on March 1, 20
( � �y Date (monfh. daY. Y��7
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�6er ana stre fe. arW ZI ootl
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rver of Albrt�ey or by �C 61.1-12-.07 Date (mmfh. daY. Y��)
r arM sLee4 d}: stete. arM ZIP code)