HomeMy WebLinkAboutMortgage_Cummins\,
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Farm a Revieed 1991
P�curihd by the Smte Bmrd of Tea Cammiuionm
^ O F51inR Fs SI.00
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CERTIFICATE OF MORTGAGE OR CONTRACT INDEBTEDNESS
TO BE F[LED IN PERSON OR $Y MAIL IN DUPLICATE EACH YEAR BY THE OWNER WITH THE COUNTY AUDITOR
�(IN WHICH THE PROPERTY IS LOCATED) BETWEEN MARCH I AND MAY 10, INCLUSIVE
(6-1.1-12-1 THROUGH 6-1.1-12-8)
"'QUALIFICATIONS ON BACK°•
STATE OF INDIANA
COUNTY, ss: ��
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� I. (Ne)
�FULL \AAfE)
certify that I, ( e) was/were lega] z ident(s) of the State of Indiana and owner(s) of rea] property on March 1, l9 �� and ihat this
statemen[ is made tor the purpose of obtaining a deduction from that real property located in Taxing District (City, Town, Township)
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C
Legal Description/or Key' Number
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Name on property tarz records if different from ve? �'���0 � q�`I -��
� �q- ��3� �: ., �
ti" ` oti ,�,
A r ..��
z Are you the sole lega] or equitable owner of t real estate? Yes
�
ia
� If nq what is your exact share of interest in it? `
� Assessed value of real estate as of March 1, wrrent year �! D^ -
�1 Amount of Mortgage or Contract Indebtedness unpaid as of March 1, cunent year S �S 3A0 •
�y , Modgage or Contract recorded County Recorder's Office, Record No. ��" Page `-�6 �' �
U'�ame and address of mortgagee or contract seller ���-�m�� �� '°�"^"�-�
W �
WDo you know if there is any assignee or bona fide owner or holder of the mortgage or mntract? Yes A`o If yes,
� what is the name and residence?
� �� 6
zDoes the ow•ner of the above described real property own real property in any other County in .the State of Indiana?
�
� Yes I�o I( yes, what County and Taxing District? , I.''
� a� �
�i Has this deduction been requested on that property for the current year? Yes � No
(/� Amount Allowed �00 �-1 � � � ��/�
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F �� ���` ,^�1� v
z COUNTY BOARD F REVIEW "' 'See False Statement Penalty Below �� 1�� - 6-a a- oz
�„� ACTION ._���
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� IOM\ER'S FUIL NAMEI
3 REMARKS � � � �pER50\ AUTHORIZED BY DULY �XEC�VI�D Po/WER OF ATTDILYE1}
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C� v � B� IFULL RFS�DE\CE ADDRE55 OF ONNER — MUSI' BE GI\'E�)
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O � nUDITOR
A. SECRETARY OF BOAftO Q�'� (ADORFSS OF AVI'F10�1
�
DATE
6- a� - 9� �. e-�.,P