HomeMy WebLinkAboutMortgage_BlemkerSTATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
FOR DEDUCTION FROM ASSESSED VALUATION ����
Stafe Fartn 63]09 (R70 At-08)
� � P�esm'be0 OY ��M�ent of Lo� C,orernmaM Finar�
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Fr7"vy Dates: 1J Real Property: Must fi!e dunng fhe yesrfor whiGr the dedudwn is sought.
2) Mobde / Manufacturatl Homes not assessed es Real Property: Must fde dunrg tlie hveNe (72J monUu
the deducfirn is sntyht
See reverse sitle for adddional ins(rvUions and qualificatians
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Ooe^ appGmnt am pcpeity in mry dher I M yes. wfiat muNy?
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❑ Yes ❑ No
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❑ Yes ❑ No
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❑ No
1/ We ceNry under ihe penalty of perjury ihat the abwe arW foregdng mfarmatim is true anE corred and thal Me applicant is a resitlent of InCiana and
owner I mntrart buyer of the aforementioned qoperty on date appliption is fiied.
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