HomeMy WebLinkAboutMortgage_GehlForm 6 He�iaed 1!kl /� Rlin[ Fae i1.00
P'eaui6 d by Ne Su�e Bm'd of Tex Comm'vaioom O O�� O O� (^_
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CERTIFICATE OF MORTGAGE OR CONTRACT INDEBTEDNESS
TO BE FILED IN PERSON OR BY MA1L IN DUPLICATE EACH YEAR BY THE OWNER WITH THE COUNTY AUDITOR
�'t -- �(IN WHICH THE PROPERTY IS LOCATED) BETWEEN MARCH 1 AND MAY 10, INCLUSNE •
1 ~ (6-1.142-1 THROUGH 6-1.142-8) �
1' •••QUALIFICATIONS ON BACK'^ �
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� STATE OF INDIANA /��- q" COUNTY, s� 0 oO
I, (We) 1� � Q�n-� � n'u-�Lwci (�- /wL�� �i �
(e�tu, uwntE� p'/
ertify that I, (We) was/were legal resident(s) of the State of Indiana and owner(s) ot real pzoperty on March 1, 19 aL and that this
statement is made fqr the purpose of obtaining a deduction from that real property located in Taxing Dis[rict (City, Towq Township)
/�,�L,(.sit.tv �LGGC�. — Described to wit:
Legal Description/or Key Number �� e ,� //� "^ JJ //`� � � Q —°�— � � / • nC
i� Name on property taY records if different from above?
�z
.�
,A
,� Are you the sole legal or equitable owner of the real estate? Yes No y�_ s-9�
� y
� If no, what is your exact share of interest in it?
j� Assessed value of real estate as of March 1, cunent year // �— ��D O= (P 9/ �
!, ^
A Amount of h7ortgage or Contract Indebtedness unpaid as of March 1, curtent year S ��� � ,/ -"h�
' �. ocl0 � .�
�ortgage or Contract recorded ,�� �� County Recorder's Office, Record No. � Page "' �°� °
� Name and address of mortgagee or contract seller /�'�-� "� "'^""
W
a(�]� Do you know if there is any assignee or bona fide owner or holder of the mortgage or rnntract? Yes No [f yes,
�what is the name and residence? �!i� 7 r�-� � J'
a ���/� �,�arnJ
�
zDoes the owner of the above. described real property own real property in any other County in the Stace of Indiana?
� �005
C� Yes No If yes, what County and Tasing District?
�
Q Has this deduction been requested on that property for the current year? Yes No
(/j Amount Allowed n �f bD ~ � ( ' (O I � � `
x -oo lnl6l Q�°.�-°J� �oa �: p �bti� i3�,�
F
z COUNTY BOAR OF REVIEW lD •See Fa se Sta ement Penalty elow
,,,, ACTION � ��— b'�
(.Wy APPROVED IN AMOUNT OF S �� iow.�ea•s u �nn+e� - �
r-i �
^� REMARKS
'� �PERSO� AUTHORIZEO DULY E%ECUTED POWER OF ATTORNEI'1
� # � �i4.�-,�.t_�.G�,.. .�/,(_ � �6?
�FULL RFSIOE\CE AUDRFSS OF OR'�ER — A ST BE GIYE31
z APR 12 i98� a�
� � 6 AOD � OF AIRHO D PERSO�)
; UDITOR
DATE
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