HomeMy WebLinkAboutMortgage_Schafer (5)�� �A� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
's' FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
-y Sute Fwm 43709 (R6 / SO6)
�M� Presaibed by Depanment oi Local Gwemment Finance
�NSrRUCrioNS: FEB 4 FiIZM?rk
To be filed in person o� by mail with the CountyAuditor ot the county where the property is located. LUUa
Filing Dates: 1) Real Property: During the 12 months 6efore �une 11 0/ the year the deduction is to 6e��, �ve.
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 o/the yearQll�.6e9'u�{i� to be effective.
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See reverse side fo� additional instiuctlons and qualifications_ � Q18SON COUNTY AUDITOR
Applicant (owner
/� / i S
Taxing District
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buyer- see 2strictions on ieverse side)
�°-�cr —F L;So�
�� Key number / legal desuiption Record number
Assessed value of real property as of
March 1, current year
If no, what is his / her exact share of
ir
� Page number
��v-US—�S-3oa-ao� 3t�-G� oas
Mortgage / Contrad indebtedness unpaid as of Is the applicant the sole legal or equitable
March 1, curtent year � 33 o a s ownef? ❑ Yes ❑ No
�
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If owned with someone other than spouse, indicate with whom
on record is difierent ihan that of applicant, indicate below:
mortgagee or contraa seuer �
{;`Gr� Crc�;-�
of mortgagee or wntract seller (number and st2et, city, stafe, ZIP
Name of assignee or
Address
owner or holder of mortgage
(num6er and st�eet, city, state, ZIP code)
Dra���er NO• °`�"1°•"��"S�
Card},'0.:�•••.� �n••'.�LGf�
�Gtht+ti �J� . �.e_ c �,c.K
� /33 G2S: o � ,
Does applipnt own property in any other If yes, what county? What Taxing Distrid? Has this dedudion been requested on
county in Indiana? property for curzent year? 0 Yes � No
Deduction approved in the amounf of:
���2�' � • —�
P I P
Signature
COUNTY AUDITOR
20
County Auditor
�
20
20
certify under the penalty of perjury that the above and foregoing infortnation is lrue and corred and that the applicants was / were
lent of Indiana and owner of the aforementioned property on March 1, 20
i
2 _
t address of applicai
i� �1 n�o.c�� �1C ��l P �r`.
Person authorized by duly executed Power of Attomey
or by IC 6-1.1-12-.07
authorized person