HomeMy WebLinkAboutMortgage_Maurer (9)"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_,_ FOR DEDUCTION FROM ASSESSED VALUATION /
srace Fam a3�o9 (Ri i� sas> V
S y„ Preunbe0 tY �^� of Loml Govemrtic'rt Fuance
4 �
INSTRUCTIONS: .
To be filed in person or by mail wiN the Cowrty Auditor w County Recorder o/ Ne cwnty whe�a fhe prope�located�
Fiing Dates: 1 J Real Pmperty: Must file durirg the yearlor which the deduction is soughL ��� � County Audimr
2) Abbde /Manulactuled Homes not assessed as Real Property: Must file dunng fhe twelve (12) rtanNs �(��urtry Recorder
aer� naaRn 3� or e�n yza� ma aea�m� ��ync AU G 3 �
See 2verse slde !or ad itional instrtictions and qualificalions.
Appfu-ant(owreror uyer- re ' side) `—y�� ,f�a�,
7�IG"y ��
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. �Tab eYrwmber lyga� p — ���5(� U Pa9e O
O( L% I . � �
d mal pmpaty at ot Abrtga8e I Cantraa 4de6ted�ss unpaid as of Mortgage I ContraG'vWebtetlrress unpaid as of Is ihe applkant Na sole
March 7. anerrt year MarU 7. w Eate of aPp�ption �al «eN+�md� v�*�eYl
'� � ❑ ves ❑ r,o
It ro, what's ha / trer esafl share of Nteresi? If awned Mith swneo� atMr ihan spouse. mdxate wilh whom
If narna m femtd'o 6Rerent Ihan that of aPW��• tr�dvate Cebw. Is the G�PertY in Cuestion: M�u+a%ASSessed
� Real RoPertY ❑ ���Y �
hbdle Flortie C 61.1-i
Nartre of rtnr�gee ar mntrsct se4er
Add2ss of mortgagee ar mntrad seAet (nvnher ard cey, m. and LP code)
Nama of assignre w aNU owner a haltlu d rtnnpage
AOCress ot asignee (number en0 atree( Wy, sfate, aM LP cade)
Dces epplimn[ ovm pioperty in any aNa 1� yes. what munt/� NTaI Tari�g Distric['7 Has Mis Ee���im Deen re9u�ted m P�Pg�Y
tounry in lntlana? ❑ Ye5 ❑ NO for artem Y� � Ye5 ❑ No
�u�a ��n/y, �n ��^ M -JUNTVAl1DROR
Q<�c.M1. I� (xj
� m� y E Zo_ �_ �_ Zo_
� � avf� � ��a3 �� ��, . � _
� �� y�/e p �ig infwmalion is W e and cortect arM Nat Me appircant is a resident of Indiana �M
owner l .,...' __ _ _'. �tlon is filed.
SIgreN owner's futl na ) _ -' Date (monfh. OaY. Yes�
c� - 30— O
u0 resident appfiran (numGer antl shee4 �1; �ta. and ZIP catle)
a V� — e,�, r 12 d. c.�,.b �}� +) r�l y � �c3 5
ae�sa, auuwr¢ed ey aidr esew Pw.er or Atmmar a M �c 61. �-� z-0.7 oate (mm�h. Ear r'��
/ddmss af authomed person (numOeraid s'�eeC �y. sfate. aM LP mde) .