HomeMy WebLinkAboutMortgage_Rupp"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS nship Year
__ , FOR DEDUCTION FROM ASSESSED VALUATION
���,�,R„��� EC 1 3 � w
�' Preuri6ed Ey DepaNriem ot Loml GovemnreM Frence
File Mark
INSTRUCTIONS: � rQ
To 6e filed in person w by mad with the CounryAUditw or Counry Recnrder oJ Ne munry where the property is bca �� ��
Fi7ingDates: 1)RealProperty:MUStfifedurirx�theyeartorwhichthededuclionismught GI630NCOUNTY U��untyAUdimr
2) Mobde / Manufactured Homes rat assessed as Real Properry: Must fi/e dunng the tweNe (72) months
before March 37 0/ each year the deduction is sought � ❑ County Recorder
Sea reverse side lor additiona/ instructions arM qualil'ications. �
I A7P�i�1(owner or mnbaU b%er - see msbcOOns m mro{se side)
istrict KeyrwmCer/legeld�aiptim
4v.ti.o.�a�Yl d 10-� �j �- a�j<� Q'Sn �o? �j Oo�
I vaAre dreal poperty a N Fbrtpage / Canfraa 4de6teCnrss unpaid as af Mortpape / Con�
a+mnt Year Mardi 1. wrtent Y� dam d appGr.atim
e�mU share oi interest7
name m rtqrcgaa�es or rnnttaa seuer
naareu a nnrtgagce u conaaa uuer (nwroe� am meet �: �
rvame rn assgnee w omg owner or nower rn mortgage
Mtlress ot assignee (number ane stre
Oces e�pli�m o.m property in any a
munty m InOiana?
❑ Yes
DeducGai appmved in Ure amount� E
20 _
Sigruena d ca�mry Auaimr
tlty, sfafi, an0 LP catle)
���.��.
❑ No
- _ � �
20 — � 20
I I We certify under Ne penalry of perjury that the ahove and fc
owner I coptraq buyer of the afrnementioned property on date
ident add`ea W a6p�fu
G�=-�
auNOiaed Ey O�dy ez�
� of auNaved pUSOn
vrith somea�e other Ihan sGOUSe.
Record numCer
unpaid as of
Is y�p�.aooPm:_
Page numEei
ls Ne eppfrani tha��
legal p equitahle mmeJ!
n Ye5 n No
�ASSessetl
�155CSSCd
�ncb
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W ✓� ��0. �j
GJ � 3 C��- o �o
c�,�.�� K . �'� —
I _ —
___.� .� we and cortect arid Nat the appiipnt is a resident or i�nwne and
Date (marah, day, ysa�
�Y, lea�