HomeMy WebLinkAboutMortgage_Meirings"^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
sace F«m aa�ae (rzs r zo� �
�' ,,,, � Presrnbetl hy Departmenl d Loml Govemmmri Firwice
File MaAc
�NSrnucnoNS: MAY 0 7 2009
To be filed in person w by mad wBh the CourrtyAuditor o7 the courrty where the prope`ty is bcated.
Fding Dates: 1) Real Proper(y: Dunng the 12 months be/are Jurre 11 d the year the deduction is [o be eHecfive.
2J Mobile Homes assessed /arder lC 6-1.1-7: Between January 75 arM March 2 0! the yea� the deduction is �1feGiv� �/_.
See reverse side /d edditional insWcGOns a� quelificafions. 6� �� �
C/
icarrt (owner or�qi@ct buyes - see ia9iictions m�everse sde) .
" b
ed value a propaly as of Maich 1. �
I�wha1 is his / har e�d share ot iMerest?
If reme m recwd is diffaent Uwn that ot appl
�LVd"W��•J� I"VC/ 1
Mortga9a / ConLad indebtednass unPaiE as of MarUi 7.
mortgagee orconlrac( sdler O � �
M mortgagee or wnUae sdler (num6er mi0 sbeet db, state. ana LP cade)
asvgnae d aU�er owner w hdder af matgage
Address of assignee (rnen6er aM sLeel. titY•
Dces applicaM own property in arry olher
county in Intliarol
❑ Yes ❑ No
oeduc7ion appmved in ihe arnamt of:
2o U l 1 20
If owned with sommeme
yas, what coumy? I Whet Tadng D'aUicl?
COUNTY AUDITOR
20 � 20 _ � 20 _
�s Ihe eppG�ant u» sae �ega� «equi�awa ownen
❑Yes ❑No
spouse. indicate with whom.
Is Iha proparty in question:
❑ R�I Roperty ❑ Mobile Home QC G7.1
Has lhis dedudion
ta artent yeaR
20
uestetl on property
❑Yes ❑ No
20
Sig�ture of County Aud'Gar I Ca+nly I Date (rtr�nfh, daY Y��
I/ We certify under the penalty of pe�ury that ihe above and foregoing infortnation is We and correct and that tlie applicants was I were a resident of
I�ana and oi ihe aforementimed property on March 1, 20 _
Sio�ture (dvne/s M nemal � ✓f Date (monfh, daY. Y��)
�enited
AddressMeWha¢eCpe�son (numbe�anOSfieef,
ate, a(rd oode)
�
IC 61.142-.07
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