HomeMy WebLinkAboutMortgage_Fichtinger"�n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
a.=_..
+ FOR DEDUCTION FROM ASSESSED VALUATION
• Slata Fam 43709 (R71 ! 609)
S 1 Pr¢soibed by DepaMrenl of Local Govemment Frunce
w�s
File ar
INSTRUCTIONS:
To be filed in person or 6y mail with the CountyAUditor or County RemNer o/ the oounry wliere the pmperty is located.
Fi(mg Dates: 1J Real Pmperty: Must �le during the year for which the deduclion is sought.
2) Mo6�7e / Manulactumd Homes rwt assessed as Real Property: Must file dunng the Iwelve (72) months
be/ore March 37 of each year the Ceductinn rs sought.
See reverse side for additional instrucUons and qualificatrons.
MWon� (owrierar�ntra,Ft byer ttee rej(riraons m r�e�se side) �/ �] ' •' '
a ot
is his / her exact sl�are of interest?
It narne m rewrd's tlitterenf than Nat
=°'30°�-ooa. �03
�ga6e � cono-aa indehtedness unpaid as a
�ame of rtnrt9a9ee or cmtrxt seuer �7�
G
Address of mor4�agee w mntraG se�er (mm6er erd street �Y, s�.
Name of assignee a othu owner w holder of mort9a9e
AEdress of asUgnce (numberaM stree4 �y. s+e1e, an
Does aPW�t wm pfoperty in any other
tounry in Ind"ena? ❑ Ye5 ❑ No I
Drauction 2ppraved'c� �h0 amounl oi
20 20 20
�d� 2��2
C "�,�.,-1V �—rY�ryAuditor
a of I La Me applirani the sde
kgal a equirode ownM
❑ Yes ❑ No
someorre othu ttun spouse, I�icate wtth H7om
F 17•".� V- e1 J S�. � P Y� `.
DI'fl1\'CI' ��.:�.�.�?.Y.}.Q�I/.••
�,��.� �p,av�a.UaQO.;'GI�.
20_ � 20_
Counry
IS tM ProGertY in QueStion: MnuaDY A55essed
❑ Real ProGenY Q M^!�allY Assessed
Has N's dedudim Eeen requested an property
tw au�ent yeaY.+
❑ Yes ❑ I
20 � 20
1 I We certity u�er ihe penalry of perjury that Ne above and foregoing infortnalirn is We and correct arM that Me applican[ is a resident of InEiana and
owner! conVad buyer ot ihe aforemenlioned property on date application is filed.
Sigrewre (owne/r�� h� name) �I / . trdta (rirnth. daY. Yea�
C � �7 6 r1 GG /M� f
FW 'en��ani(num0erand5Lee4�N�te.ardZlPOOde)
autho�aetl by
p by IC G7.142-0J
naaress a aw�d �(number aiM sbee4 �Y. sbte, an0
(monlh, d3Y. Ye�