HomeMy WebLinkAboutMortgage_Blair.P "'* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION � ��
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�° ' Presmbed by Department o( Local Govertmenl Finance
File Mark
�NSrnucnoNS: JUL 0 9 2008
To 6e filed in person or by mad with the CountyAuditor oJ the county where the properfy is located.
Fdo�g Dates: i) Real Property: Dunng [he 12 monfhs 6e/we June 11 d the year the deduc6on is to be etFec6ve.
2) Mo6de Hames assessed under IC 61.7-7: Behveen January 15 and Maich 2 of the year the deduction is to ��ve� �
See reverse side (a addfional insbuctions and qualifications.
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qppicant (owne/ q, Wryer - see r�{�'cljor's, °^ �rse�qide) a
Pssessed ralua aF real popeM1y as
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Address of mortpapee or mnUad Sellet
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Is Ihe appfimnl lhe sde legal or equilade o.me//
❑ Yes ❑ No
spouu. irdicale wifh whom.
Is the property in question:
❑ Real Property ❑ Mobile Home (IC 61.
Has �his deduction been requestetl on property
for wrrenl yea(7
❑ Yes ❑ No
zo_ zo
Oale (month, day, year)
is true and corred and that the applicanfs was / were a resident of
Date (marfh, day, yea�
Date