HomeMy WebLinkAboutMortgage_Wright (3)a°�R�" t STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C � Tov s ip Year
;+ °., : FOR DEDUCTION FROM ASSESSED VALUATION —
\ �f, Slate Porm 477W (Ra / to-Ol)
PreSCnUCW by Depanment of Local Govemment Finance
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INSTRUCTIONS: �File ��
To be filed in person or by mail with the County Auditor ol the county where the property is located.
Filing Dates: 7) Real Propedy: Dunng the 72 months before May 71 of the year the deduction is to be e p���,17y pUDI'T�R
2J Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 31 0( the ye�educlion is to be elfective.
See reverse side lor additional instructions and qualiTcations.
Applicant (owner or contract 6uyer - see
���,�i, .� �. a,.�_
� Cev,fier 1 w � �
Assessed value of real property as of
March 1, current year
no, what is his I her exact share of interest?
on reverse side)
Key number / legal
�
-/3-3a-
Record numbe
e
Q�Z_Q�,1�� �� � IPagenumber
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Mortgage / Contract indebtedness unpaid as of Is the applicar
March 1, wrrent year owner?
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D �_--_
SD 2 �
.�the� oie legal or equitat
L�YYes ❑ No
'� 168, oa0 _�
-�— If owned with someone other than spouse, indicate with whom.
If name on record is different than that of applicant, indicate
3me of mortgagee or conVact seller
�1fi�� ra � c� � k �—
jdress of m gagee or contrad seller (number and street, city, state, ZIP
,�.�,_ �._� v., a,,,.Rl,��,�„���i:ll,o '
Name o( assignee or
owner or holder of
of assignee (number and street, city, state, ZIP
Is the pr
❑ Real
770.� D
quesnon:
❑ Mobile Home (IC 61.1
��-�Bl�l
ag- �%o�
Does applicant rnvn property in any other If yes, what county? I What Taxing District? I Has this deducifon been requestea or
county in Indiana? property for current year?� Yes� N
Deduction
zo
Signature
in the amount of:
20 20 �
� i
COUNTY AUDITOR
zo �09 � zc
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County Auditor
zo
20
�I/ We certify under the penalty of perjury that the above and foregoing informalion is true and wrrect and ihat lhe applicanls was / were
a resident of Indiana and owner o( the aforementioned property on March 1, 20
r Signatore (owners (ull name) Person auihorized by duly executed Power ot Attorney
� /. l . //, - �'1 /_ >n.�,�,,Z� o� by ic s-�.i-iz-.o� _ —
Full resideni address of applicant
of authorized person