HomeMy WebLinkAboutMortgage_Beloat (2)"^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ _ FOR DEDUCTION FROM ASSESSED VALUATION
s�ace wrm as�oe (R» i sos>
�' � Presoibed by DePe�M al Laral Govamment Finance �
" F
INSTRUCTIONS:
To be filed in person w by mail wiN Ifre Counry Auditw w Counry Recorder o/ the county where the piopeRy is locate� P� �
Fifirg Da[es: 1) Real Property: Must file durrrg Ne year for which Me deducUon is soughL Counry Auditor
2) Mo6Ae / Manufac2red Homes rat assessed as Real Property: Must file dunng the hveNe (12) monfhs ^
belae March 31 0/ each year Ne deduction is swghf. � �J �nry Remrder
.CS
See �ever�s' for additi[�al inst/uctbns erM quelificafions.
MW�m �-?�RU^�P➢sMia"� .. _ A .(1 „ p U'i6,�'aF.TCOIIRTY AOII(TQF��
�ty �pg I Page number
_�3-3u- c�b—oo 8-0
2'ude6tetlness unpaid az W Mortgage / ConSaa inEebteMess unpaiE as d Is Ne appBrant Me sde
+arO O� date o( ap�Cation legal a equ(tada owneR
� ❑ Yes ❑ No
H owned wiC� someane other tAan spouse. md�te with whom
m remrd'a drtte2nt Nan Ihat d a0P��1. intlirate Gelrnr.
Name ot rtorigagee or mntrarl seDer
�� 111 y�l. r\lO '—
Aedress W rtartgagce or cantrad seDer I �
C,��� ••����
Name d assignee w oMr1 awnet or M �\r .
/ � • •
AdC�ass ot auynee (number arM st. �`W �11w • • �� •
• �p
•t��ry�.. •� • ,
`�J
Dces aPplirant own pnperty in any oNer I It yh. � 1
counrymind'vna? ❑ Yes ❑ No
DeducCm appro+etl in 17re amount
20 - � 20
Sigta¢rte of Camb Aud'rtcr
1/ we cerory uryic� the
Is C�e poprlty in Question: MnueOy AsSesseE
❑ Real Pmpeify � ArmuaDyASSessed
Nas Nis tledu�ion Ecen repuesie0 m pinperty
for wrten� yeaR n.._ _ n
COUNTY AUOh JR
20 20 20 20
Counry I R
20
of perjury that the above anG foregoing infomuUon is true and correct arW Nat Me applkani �s a resident ot Indiana arW
orementia�ed Pro➢erCypy�ate apdidtion is filed.
�� Date (rnwNt. daY. Yge�)
rJ(y, slafe, entl LP cotla)
PoM4r of Atlomey w Oy IC 61.1-12-0.7
Pdtlr�s of aullro�'ve� prlson (num0er aiM sneeS dry. sfate.
Date (mon1A. EaY• 1'�A