HomeMy WebLinkAboutMortgage_Norman°•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION
s�ieFa,naa�as�Raiz-0�� �
•�' 1 Presrnbed by Departmen� of Local Govemmmt Finance
' Mark
�NSrnucnoNS:
To 6e filed in person oi by mail wifh fhe CountyAuditor o/ fhe county where the property is located.
Fding Dates: iJ Real Property: Dunng the 72 rtronths be/ore June 11 o/the year the deducfion is to be efle�� 3 Q Z�OB
2) Mobile Homes assessed under IC 6-7.1-7: Behveen January 15 and March 2 0/ fhe year fhe dedutfion is to be eAecfive.
See reverse side lor additiona^ 6uttions arrd qualificafions. � ��
a`1
npqlcarit (owne. u. mrArad
� K�-�'3�'-�- 300 -oo t. � � q- R�$„� ���,'�
alue of real propaly as d Mamh 1, anenl y�r Mw�qage / ConUact indebtedness unpaid as of Mart'h 1. Is Ihe appGcant �he sde legal w equiiade owner
airtmt year
❑Yes ❑ No
is his ( her ecaU share ot irrteresl? � If owned wiih someone dher Ihan spouse, indicate wi�h whom.
If reme m recmd
mortgagee or contract seller
indimle belaw:
mortgagee ar mnlrad seller (number a'M s6eet.
Name of assgnee w otha rnrner w iw�dE
Atltlress of assignee (num6er arM sVeel.
Does applicant own praperly in arry other
county in Indara?
❑ Yes ❑ No
Deduction
0
amwnl of:
dly, sfate, antl ZIP mde)
zo o�
If yes, what counlyt � Whet TaAnA DisVicl?
No�ma� .��,—�F2Eyc�
O V I � ��
Is Uie property in question:
❑ Real Property ❑ Mabile Home QC 61.1-7)
Has this tledudim been
for anent yeaR
zo
❑ Yes ❑ No
o� ��nm. oar. rea�
zo
I! We certify under Ne penalty of perjury that Ihe above and foregoing in(ortnation is We and cortect and that ihe appii�ants was I were a residenl of
Indiana and ovmer of Mie afwementioned propeAy on March 1, 20
� ��.a Inwno/e fidl rumnl . /I Date (manN. daY. Y��l
aulhar¢ed by tluy e�caulad Power
Address of aulhor¢ed person (n�m6eia�W s7eel. cd}: sfate, aM LP cude)
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