HomeMy WebLinkAboutMortgage_Appman""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS coun 7ownship vear
_ FOR DEDUCTION FROM ASSESSED VALUATION
Sl�e Form 63�09 (R70 /71-08) .
` I PrasaibedbyDePartrnenidLOWGwernmeMFinan�
INSTRUCT70NS: Fle Mark
To 6e filea in persan ar by med wilh fhe CounfyAuditor o/ the munty where the propeRy is bcated.
Flirtg Dates: 7) Real Properiy: Must file during the yeer /or whiNi fhe deduction is sought.
2) Mobde /Manufactuietl Homes not assessed es Real PiopeAy: Must fife dunrg tt�e (weNe (12f months 6efde Marrh 3! o� each year �
the tletluttan is sayht.
See ieverse side /or adddionaf instnidions and qualifications
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Y ro, what is hs I ha e�ad shara d iNerasfl �—
tl �ume m racartl is Qdferaie ttan that o( apv�t iMimm belw.
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AOdiess d mor�agee�emiraa sener (num6crand sGOet dry: sbw.
Narne cf assip(ree or ofher owner ar holder d matBaBe
Address o( aaipnae (iww�Mei and sboM. rdY• sab. aM ZIP ooEC)
Does apqiwnt own property in arry dher H yes. what m
DeOuGion a07mred in dia arnwnl d:
Recad numher Pape num6ar
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npaid es d Malgape / Cmirad indabtedness un{aid as d Is Ihe appfraN Ne sde
,,L date af applimCOn . iegal a eQUitable orrieR
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I( wned wdh sartreone ahar lhan s0�se, iMicate wdh Wnn
Is �he mWaM in aueaiian: MnuaOy Assassed
e� RWBKY ❑ Mnua11yA4essed
COUNN AUDITOR
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Se7netura d CourityAWilw County uate (mrfh. day.Year)
I/ We certfy under !he penalty of perjury ihat the above and fwegdng mfortnation is true and corred and fhat [he appGcant is a festlent d Indiana anA
awner I cantrad buyer of Ne aforementioned pfoperty on date appliption is filed.
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