HomeMy WebLinkAboutMortgage_Ayers°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
Slate Farm 43709 (R8I2L7)
�' � Resmbetl by Department of laal Govemmml Firence
Coun Township Year
� ��
iNSrnucnoNS: FE�'� �"�009
To be filed in person or 6y mad wifh the CourttyAuditor o( the county wheie the property is bceted.
Fding Dates: 7) Real Properiy: Dunng the tt months be/we June 17 W the year the deduction is to be eHective.
2) Mo6ile Homes assessed under fC 67.7-7: BeAveen January 15 and March 2 o/Me year dre deduc6on is
See reverse side /a additional insWCtions arM qualifications.
(amer cr mntrad buyei - ee re�rictiais m reverse
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rwmoer r iegai uesvipwry O _'^ O y
� - 3-oa "Y D � o�
1.anenlYear Mw�gage/Corrttad'oMebtednass
arrent year „ „ p
is his I her ezact share d interesl?
If reme m recard is
mtMigagce ar arN-acl
mongagea d oonuaa seller (number and ffiee4 dA'. state.
Nartre of assgnee a Wier owner a hdder d mariga9e
�perty in arry oiher
❑ Yes ❑ No
Deduction approved in Ue
C:.�=i;
� /(os -oa
unpaiE az of Ma�ch 1,
�ov
meC wilh someme dher U
If yes, what caunt/1 I Whet Ta�dng
COUNTYAUC
Record number Page number
�.�n A /n�/98
�s ihe app�nnt uie sde �egai w eqwude m.+�ert
❑ ves ❑ Nu
spause, �cale with whom.
Is 1he praperty in questlm:
❑ Real Pmperty ❑ Mobile Home QC G7.1
� Hes Utis dedudion been requestad on yapary
tor artent yra(1
� '— - -- -- - ❑Yes ❑No
� . .
D,�a������ �0.�.0.�=..G..��'�'
20 Q� ZO 20 20 � '-�
P �Card N�. ..^.I'
SignaWre af Caunly Autlilor � /.(� ��� �. 00
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I/ We certify under ihe penalty of perjury that Uie above and (wegoing information is true and coriecl and that the appticanLS xas i were a resident of
�
Indiana and owner of fhe afwementimed property on March 1, 20 ' .
�o�towners he�name) /f . ' oale (mm�m. dar. r��
Pseculed
Addrrss of auUwraetl person (numberand sbeel.
aty. sta(e. ard ZIP mde)
or by IC 67.742-.07
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