HomeMy WebLinkAboutMortgage_Stewart (2),a�'�'� � STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
'`' = FOR DEDUCTION FROM ASSESSED VALUATION Count Township Year
's �, � State Fwm 43709 (R6 / 5-06) �
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� Presaibed 6y Deparimenl of Loral Govemment Finance
INSTRUCTIONS: File Maric
To be �led in person oiby mail with the CountyAudrto� otthe county where the propeRy is located.
Filing Dates: 1) Real Property: DuAng the 12 months before �une �7 oI the year lhe deduct� n' t�b f/ect e. �
2J Mobile Homes assessed unde� lC 6-1.1-7: Between January 15 and March o t�y r t e e c n to be eNecfive.
See reverse side lor additional instiucfions and qualifications.
Applicant (Qwnerijrcontract
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Assessed value ot real property as of
March 1, current year
JUN 1 1 2007
reverse
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Key number / legal description
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Mortgage / Contract indebtedness unpaid as of Is lhe applicant the sole legal or eqi
March 1, current year owne(? ❑ Yes ❑ No
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If no, what is his / her exad share of interest? If owned with someone other than spouse, indicate with whom.
If name on record is different than that of applicanl, indicate below: Is the property in question:
❑ Real Properry ❑ Mobile Hmie (IC 61.
�me of mortgagee or contrad seller
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Address of mortgagee or contract seller (number and st2et, ci , state, ZIP
Name of assignee or other owner or holder of mortgage
Address of assignee (num6er and streef, city, state, ZIP code)
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Drati��cr NO.. Q.�. - a i 3
. .......7
Does applicant own property in any other If yes, what county? Wh::
counryinlndiana? C�Cd NQ �!
COUNTY AUDITOR
20
Signature
approved in the amount of:
20 �
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20 �� 20 20 20
P
County Auditor Dat
20
:quested on
� Yes � No
We certify under the penalty of perjury lhat the above and toregoing information is true and corred and thal the applicants was / were
resident of Indiana and owner of the aforementioned property on March 1, 20
�natur (owner/s (ul�l ,n/ame) Person authorized by duly executed Power of Attomey
� iiu�.1 o�h. � i�A/%1�� orbylC6-1.1-12-.07
F I resident address of applicant Address of authorized person
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