HomeMy WebLinkAboutMortgage_Price"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ , FOR DEDUCTION FROM ASSESSED VALUATION
Stata Fortn G37W (R71 / 609)
,,�,� � Preuribed by DeP�� al Laml Gmiemmerd Fu�anca
File Mark
INSTRUCTIONS:
To be filed in person w by mail with the CountyAuditor or Counry RewNer of Ne counry where the property is located-
Filmg Dates: 7) Real PropaRy: Must fJe dunrn) Ne year for whicA fhe deduction is wught.
2) Mo6de / Manufactured Homes not assessed as Real Property Must file dunng the fweNe (12) monNs
6efore March 37 07 each year the deduction is sought.
See reversa side (or addifior69l inshuclions and puali6cations.
�� � ����tl-�l �-'IlD-`�-�a.aSa-�z7
�e0 raWe oF real poperty as ot Mwwage / Contrau inde6teaness unpaid as d Mortgage / Convao
1. aimrt year Msmh 1, au�t �p9�� � date af appfmation
no. what b ttis I hu eracc sl�ara
nartre m
Pddress W mort9a9e� or mntraG u0er (nunber and sheeG �: sbte.
Name of assignee
Pddress at asvgnea
oed�aron appmved �
20
IIWec
owner /
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Pason auNa�A M dWy exeartetl
PGtlress of auchdaed persan (number erM sbee( dry. state. antl ZIP mtle)
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� Counry Auditnr
corder
GIB OUNTY qUDrrnR
Remrd Page n
O
unpxk as of Is Ne eppfirant Ure sole
legal a eQUitable o.mef.�
❑ Yes ❑ No
Is the property in Question: MnuaM AssesseE
� Real Roperty ❑ Arinually Asse55ed
oeoak r�on,e nc ��.
Nis deductim Eeen re9ursted m p�opeity
u�rent Y�� r-i .. r-i
p_ � �_
oa�e ( eay
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true and cortect ark Nat ihe applirant is a resident of Indiana and
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