HomeMy WebLinkAboutMortgage_Nolcox.e °^• STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
s�ia F«m as�os �rxe r z-0��
�9 ,�„ f Presrnbed by DepaNrnnt o( Local Goeemma�l Firence
File Mark
INSTRUCTIONS: �
To be filed in person or by mad with the CouMyAuditor o/ the county where the property is bcated.
Fding Dates: i) Real Proper(y: Dunng the 12 monMs before June 77 W the year the deduction is to be eRective.
2) Mobile Homes assessed under fC 61.1-7: Behveen January 75 and March 2 of U�e yeai fhe deduction is to be effective.
See 2verse side /or addibonal insbuctions ard qualifications. �
icaN (amr/ � mrrGac! 6uye
�r,�.,_� w
Tadng Di ' Key num�bA / legal desviplion
s�-i�-18-,�oo-oai. �/s�-oa7
0.s� ralue of reA popaly as d Marrh 1. aireM year MMgage / Cont2d indaWedness unpaid as of March 1.
artenl ��� _
I( `at is his I her exaci share at iirterest? If owned wi�h wmaw�e all
u,at or appicant ��aimte telow:
..��C""r%�
Address of rtartgagee n mi
Name of asaAnee or olher a
���mber A( tity, sFafa. aM ZlPmtla)
hdder of martgage �
Yee{ crly, 9ale, aM LP oode)
applicant own poperty in any olher
y in Inda�?
❑Yes ❑ No
qion appmved in lhe arnaunt of:
20 20 _
iwre af CounN Auditor
yes,
0
What Tadng DisUicl?
COUNTY AUDITOR
20_ � 20_
Og-3sgs
Remrd rnunUer Page rnanber
Is Ihe apprmnt ihe
❑ No
spouse,
�,e y�erty in a�ssm:
rRea� Propeny ❑ rnobi�e t,a„e pc G,.
3 S�gS 5" °
O y �
�
�
Datc (mnnth.Oay.
20
I/ We certify under ihe penalry of perjury that ihe above and fwegoing infomiabon is true and corred and that Uie apptipnts was I were a resident of
Indiana and owner of the afwementioned property on March 1, 20
��riaWre o e(shAlrertre)/7 Dafe(mmUi.OaYY��)
� n.. r o I � � D� n i� �_ 7 7 �%� �
I Person authwaed
and straet cdv-ctafe. aM
a
d/y, s6te. aM LP aode)
day. yea�