HomeMy WebLinkAboutMortgage_Beadlesryn STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
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� P Resmbed by DepaNneM W Laal Govemmem Fnance �
� n � File Mark
INSTRUCTIONS: ! \
Fmn fleE wRh:
To be lled in person w by mail with the COUnty Auditor or Counry Recorder o/ the wunry where the property is located.
Filirg Dates: 7) Real Property: Must file during the year for which the deduction is sought. County Auditnr
2) Mo6ile / Manufactu�ed Hortres rrot assessed as Real Property: Must fi7e dunng the IweNe (12J months
before March 37 of each year the deduction is sought Counry Remrder
See reverse side for�ldiLOnal instnictions and qualifications.
MP�'a�� (ownercr buy? ' rei�^�0^s °^ _ ' . �
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1. aarMrt year
It no, wfiat ts his I her e�act share of interest?
It rwne on retIXC
Name ol mMg2gee or mntrari seller
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A/aMage / Contraa iMebtetl(ress unpaid as of Mwigage I Con�
Mart�h 1, wrtent year /j /` OO date of appGcati[
ll��
I( owned wiN someone otl
or mntraa se0er (nwriber end sbaeS �Y. sta'e.
Name o1 assignee w oMer owner w holder of moriga9e
Pdtlress oi "` �nce (number aM street, dry, s7afe.
l�^M7
any oNer � If yes, what munry?
f.G1
Rem�tl numher
oa -�
ude6tNness unPaiE as of Is Ihe
legal i
Yes LI No
spouse.
Is tl�e ProOenY in puestion: Mnually AssetsM
I] Real Property ❑ Nmually Assessed
What TaA�g Dis1n�Y? Has Nis deauGion been requested on pmpeny
tor wrrent Y�a/? r-i .. r�