HomeMy WebLinkAboutMortgage_Wilzbacher (6)STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
, FOR DEDUCTION FROM ASSESSED VALUATION
s�a� Form aa�os �rtio n� oe�
` f RasaibedbYOepaMieniNLar�GovemmaMFuvnce
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INS7RUC710NS: e
To be fifed in person w by meil wi� fhe CountyAudita d ff�e county where the poperly is foceled.
Fdiig Dafes: i) Real Property: Must ne dunrg the year Iw wAich fhe deduclion is sought. ��n' 7 �nt1�
2) Mobde / Manutacturad Homes not assessed es Real Property: Must file dunng tlie tweNe (12J months b�/ofe MardUSrCOI eacA year
the deductbn is sought.
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See revu�.w �:ne fa adddional insfn�cfions aM 4ualific8tiats/ . /� iI77.. _ �✓
A�AeG v21ue al t�l paperty as at e I Gp�t.
MaiM 7. ameN Y� Mamh . aRen1
I
tl ro. what a hs / her erad share d i�neresYl
M reme m recortl is dEle�e�n Ihan thaf oF appGwn6 inEirate bab.r.
NamB Of mortgageB a CanlraG se0er
nderess or �ortgagea or w��raa seu
Name d asiorree w dher wrt� a t
Pddress of asignea (m«mDr�andsbeeL �Y..sfa�. arMLPCado)
-ac�-o� i� -oa _.._..._
atl indeWedness un�aid es d Mat pe / Corrt�ad "c�OeMedness un�sid as d
year da� of appfimtion
��9 000
H amed wilh someone alher ihan sPW%�, irMicate wilh wl�
!c Ne Mo7ertY � Cuestic
I ❑ R� �cenr ❑
Daes aPdiranl wm prape(ty in anY olhar I If yes, what cwNY� I W!W 1
muny in IMiare7
❑ Yes_I_I-w,— _ -- _ -
b�rd. C•�,lnon
DeCudion aPProveC in Ne annurtl � 1���` `O • • • � • • • • • . ••
- �+`�38
� r� Zo- c:��-� �o . .....................
, ,�, � �.A�� �3y9,000.m
� � we ��FM1�Y �nder
of the
nmq Dishid7
20
apP&aN iha SdB
IX BQU�daB OMTBi/
❑ Yes ❑ No
r_c^�:-�
Has Ihis EeduCOn bean repuesled on pmparty
brairteMyea(7 ❑ I
❑ Yes
zo � zo
the above and foregaing mfmmation is We atM corred and that Ne applicant is a resident of Indiana
property on date applintion is filed.
� ,( Oate irtiWh, tlaY. Y�xl
e.eatad Pv.ver dAnomey w by IC 61.7-72-0.7
�r �n�m �»�, ���,ery �e v�. �r. �re. �e
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