HomeMy WebLinkAboutMortgage_Goedde�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
��� v FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
1, Slate Fam 43709 (R6 / 5-06) . �"� �
�� Presaibed by Depenmem of Laal Gwemment Finance ""�' 'i !_ �>� �
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INSTRUCTIONS: 1 �ile1[�rk
To be filed in person or by mail with the CountyAuditor oI the county where the property is located. h'� �
Filing Dates: 1) Real Property: Dunng the 12 months before June I7 0/ the year the deduction is lo be eflecUve. ��/
2) Mobile Homes assessed unde� IC 6-1.1-7: Behveen January 15 and March 2 0( fhe year'E6�"�d,Bdycfrb'n`�to 6e elfective.
See �everse side for additionaL instiuctions and qualifications. O�gSON C�uNTY AUD���R
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(owner or �ntfa� byyer - see
Taxing District
AssesseQ"value of real property as of
March 1, curtent year
If no, what is his / her exact share oi interest?
Key
Record number
rl/ '1?a/ C/�..�/ �j_� Pagenumber �g��
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Mortgage / Contract indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, current year owner? Q Yes � No.
$ OO C/UD� o"°�
If owned with someone other than spouse, indicate with whom.
If name on record is different than that oi applicant, indicate below:
�^ie of mortgagee or contract seller D� /
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Address o( mortgagee or contract seller (number and stree ity, state, ZIP
Name of assignee or other owner or holder of mortgage
Address oi assignee (number and street, city, stafe,
Does appliqnt own property in any other IT yes, what county? I What Taxing District?
county in Indiana?
Deduction approved in the amount of: _—'
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COUNTY AUDITOR
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...y Auditor
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❑ Real Pro�erty O MobBe Home (IC Gt.
Has this deduction been requested on
property for wrrent year? ❑ Yes❑ No
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_., ut perjury that the above and foregoing infortnation is true and correct and that the applicants was / were
..�itl owner of the aforementioned property on March 1, 20
� n rs full name) Person authorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07
� dress oi applican Address oi authorized person
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