HomeMy WebLinkAboutMortgage_King°^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
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S � r'�a;eed br D�a�me�,� a Local covemm�x Firw�
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Coun Township Year
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INSTRUCTIONS: �
To be filed in person or 6y ma0 wrlh the CourttyAudifor W the county whe2 the pioper(y is bcated. . �� R 1 4 2��9
Fding Dates: 1) Real Proper(y: During fhe 72 monMs befare June it d the }rear the deduction is to be eHective.
2) Mob�7e Homes assessed'mder IC 6-1.1-7: Between January 15 and March 2 of U'e year Me deducfim is to be eflective.
See reverse side (w additiortal insWctions and quelifications. �� �.�
reverse
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ralue of real pioperty as d Mard� 1, anenl ym
If � is his / her exad share ol iriteresl?
�
If reme m recad is diRerent than Ihat af applirant indic
Nameofma�gageeorcmlraUSeller �/
Addr�x ot moAgagee or mnUad sdler (number and sG
Name af assigrree a other owner or hdder d rtaRpage
1
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GIBSON
� RemN rwmber Page rumiber
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Mor�gage I Cont+aG indebtetlness unpaid as at March 1. Is Ue appGraM Ihe sde lagal w etryriUde owrief7
w�rera year (7�
Vv ❑Yes ❑No
If wrt�ed wilh sort�eme alher than spouu, indicate with whom.
rity. sfate. ard LPcrode)
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Is �he property in questim:
❑ R�I Prooerty ❑ Modle Home
�dudion been requestetl on property
Y��
❑ Yes ❑ No
20
20
� true and mrrect and that Uie apptinnis �ras I we2 a resident o(
tlay,
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