HomeMy WebLinkAboutMortgage_Boxell Investment IncForm 9 Reri�ed 1951
F�e Fee 51.00
PrescnAed by tAe ataw RoeN of Tex Comm�ssone.rs '
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CERTIFICATE OF MORTGAGE OR.CONTRACT INDEBTEDNESS
TO BE FILED IN PF.RSON OR BY MAIL IN DUPLICATE EACH YEAR BY THE OWNER WITH�THE COUNTY AUDITOR
(IN WHICH THE PROPERTY [S LOCATED) BETR'EEN MARCH I AND MAY 10, I\CLUSIVE
�i (6-1.1-12•1 THROUGH 6-I.1-12-B)
• •••QUALIFICATIONS ON BACK^• � " � � O D
STATE OF INDIANA COUNTY, ss:
I, (We) �'
IFU \AAt r . ,
certify that I, (We) was/were legal resident(s) of the State of Indiana and owner(s) of real property on March 1, 19 �and that this
statement is made for the purpose of obtaining a deduction from that real proper[y located in Taxing District (City, Town, Township)
Legal Description/or Key Number
A'ame on property tas records if different from above?
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Are you the sole legal or equitable owner of the real estate? Yes No
If no, what is your exact share of interest in it?
Assessed value of real estate as of D7arch 1, curtent year .� 3 gD �� I I D
Described ta wit:
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Amount of Morcgage or Contract Indebtedness unpaid as of March 1, current year 3 / � � O
Mortgage or Contract recorded �1�¢-�/� County Recordei s Office, Record No. S Page �4 9
Name and address of mortgagee or contract seller
Do you know if there is any assignee or bona fide owner or holder of the mortgage or mntract? Yes
what is the name and residence?
Does the ,�e�o r t e�b,p��cribed real property own zeal
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Yes Nup-A-1_�-. �g�,�what County and Taxing District?
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Has thtis �ed tiov'Deen req
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nmount Aliow�ed AUDITOR
No
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If yes,
property in�dfl�other County in the State of Indiana?
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that -praperty for the cunent year? Yes No "
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OARIS OF REVIER'
ACTION
APPROVED [N AMOUNT OF S
REMARKS
SECRETART OF BOARD
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