HomeMy WebLinkAboutMortgage_Julian (3)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION �
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S w,. Frescitea q� �epartmerd ot t.aal covenvneirt Fu�ance
Fle Mark
INSTRUCTIONS: o �
To 6e filed in person or by mail witlr the CounryAUditw or Counry Recortier of Me counry where the rty ' �
Fiiirg Dates: 7) Real Property: Must file during the year for which tha deductron is wughG County Auditnr
2J Mobila / ManufaGumd Homes not assessed as Real Property Must h7e during Me tweNe (72� monMs �n Counry Recorder
6efore March 31 o/each year the deducfion is sayhL A U G 3 0 U i lY
See ieverse side (or addifional inshuclions arM qualifications.
Y maI P�Y �
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of internsll
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Cantraa i`de6teCness unpaiA as d Martgage I ContraG
rtre�t yeer _ tlate of appficatm
If narne on remrd h Qdteren� than Wt W appOCan�, iMiple bebw.
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�numcer ano saee4 �Y, se[e, ano ur cme�
Dces appfrc-vnt wm WopeM1y in any oNer
munryminOiana? ❑ Y25
Deduclion approveC e� me amouN or.
20 _ 20
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20 _
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Page numOef
as o( I Is Ne ePP�� �a sob
kgy n eqWtable awne(1
❑ Yes ❑ No
spouu. udkate witli whom
Is the pmperty in QuesDOn: Mfwe�y A1sesseC
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Couny
� � P�P�Y
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Date (monN. daY• l��
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I I We certify under Ne penalty oi perjury that the above aM foregning informatlm is We and correct ar�d that Ne applinnt is a resident of IMiana aM
owner I mntra� buyer of ihe atorementioned property on date aPW��n is filed.
InaGURSe^'SrS�hAlname) � Date(rtn^fh.daY.Y'�
Edrns W appfrcant (number anE sbae4 �; ffig. � ZIP mtle)
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