HomeMy WebLinkAboutMortgage_Higginson' °� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
.... SUte Farm 43709 (RB I 2d7) � �
�' ,,,� � Presaibed by DepaMient of Local Go�emment Firence . ": ..�
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INSTRUCTIONS:
To be fiied rn person or by mad with Me CourHy Auditor o/ the courNy where fhe pro/mrty is bcated. N U� ��{ L �� �
Fding Dates: 1) Real Property: During the 72 months be/ore June 71 o)the yearthe deduction is to be elfective.
2) Mobile Horrres assessed urnler IC Gf. i-7: Behveen January 15 avd March 2 of the year the deduction is to be eRecGve.
See 2verse side (a additiortal insWCtions a� qualificafions. � j,/�q ��
see
�e mmibar / legal descqpipn —I O `lD'!� �D � ✓l.1/< (�� � Rem�d rnanba P r�umt�er
O(l0 O �
rdue of real property as d March 1, anenl year e.wnaaye i mdeWedness unpaid as of March 1, Is �he appRqnl Ihe sde legal or equi�ada o.vne(1
°'rt�'��°D(7o
❑r� ❑No
t is his / her e:ect share of inlerest? If owned wilh somea�e other Ihan spouse. indicate wi�h whom.
m record is diRarera Nan lhat
Nartre of morigagea or
n,ongayee « contraa sGk, (numaer ane sbeec o1r. sfare,
ar dher owner a holder of matgage.
Address aF assg�ree (rnaM� end sbee4 �: 5ate, enO LP code)
�Q �.tsc�s�so,� ��ky ��
— Sf� f 2c�y �-
— o�- 7��.i
Deducti�� e'.�,�,..o,..�,.. .................
20 fJ`7 20
�
re n Autlitor
I/ We ce'fy und th penalty oi
Indiana and own o fhe aforeme
S" na4ue (own Nl name)
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F d taddressot f M,(numbc
� Q
Pason autMrizad by duy eneatetl Pow
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7
What Ta�dng
COUNTYAUDROR
�
20
Is Ihe poperty in Westion:
❑ Real Property ❑ Mobile Home (IC 61.
s th's dedudian been requas�ed on property
aRentyPaR
❑ Yes ❑ No
20
20
hat the above and foregoing infortnation is We and cortecl and fhat the applicants was / were a residen� of
P�Y on Marth 7. 20
� Da�e (mmlh. day, yea�
�Y�
w by IC 61.142-.07
s(�eet, aty, sfate, and LP mde)
7G 3
(month, day, yeaA