HomeMy WebLinkAboutMortgage_Hawkins� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
' z FOR DEDUCTION FROM ASSESSED VALUATION
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Presaibed by Departmeni of Local Govemment Finance
�TRUCTIONS:
be filed in person or 6y mail with ihe County Auditor of the county where the property is located.
Filing Dates: 1) Real Property: Dunng the 12 months before May 11 0/ the year the deduction is to be eff��. Q
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 0/ the y,ear the deduc
See reverse side lor additional insfructions and qualifications. (/ � /
6uyer
Taxing District
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Assessed value of real property as of
March 1, curtentyear
no,
exacl share of interest?
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Key number / legal de
d
O/�_ ����_� Page number � / �
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Mortgage / Contract indebtedness unpaid as of Is lhe applicant the sole legal or equitable
March ent year owner? ❑ Yes ❑ No
SOoD
to 6e effecfive.
name on recorcl is different than that of applicant, indicate below:
Name of mortgagee or contract seller
If owned with someone other than spouse, indicate with whom.
of mortgagee or wntract seller (numb€r and sfreet, city, state,
Name of assignee or other owner or holder of mortgage
Address of assignee (number and street, ciry, state, ZIP code)
Does applicant own property in any
counry in Indiana?
Deduction approved in the amount of:
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Signature
s the property
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❑ Mobile Home (IC 61.1-7)
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If yes, what county? What Taxing District? Has this deduction been requested on
property for current year? ❑ Yes � No
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County Auditor
I I We certify under the penalty of perjury that the above and foregoing infortnation is true and correct and that the applicants was / were
a resident of Indiana and owner of the aforementioned property on March t, 20
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resident address ot applicant
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Person aulhorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07 -
Address of authorized person