HomeMy WebLinkAboutMortgage_Yochum.��* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Cou owns p ear
�,.. .� FOR DEDUCTION FROM ASSESSED VALUATION
Stala Fwm 43709 (RB / 2�7)
���� •� Presaibed by Departmenl of Local Govemmenl Firiance
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File Mark
INSTRUCTIONS:
To 6e filed in person or by ma� wdh the CountyAuditor ot fhe county whe/a the propeAy is located. � �R ��
Filing Dates: 7) Real Property: During fhe 12 months be/ae June 17 of the year the deduc6on is to be eflec6ve.
2) Mobile Hwmes assessed under IC 61.7-7: Befween January 75 and Maich 2 0l the year fhe deductio��so�� ��yq_Y AUDITOR
See reverse side fa addifional insWCtions a�d quali(cations. . �Un�r
COUNTYAUDROR
Deduction appmved in �he amwnt of:
20 � 20 20 20 20 20 20
SignaWre of Counry Audilnr Caunry Data (nmrilh. day, yee�
I I We certify under the penalry of perjury that the above and fwegoing infortnation is true and mrtect and that the appliwnts was I were a resident of
Indiana and owner of the aforemenuoned property on March 7, 20 �
/ SignaWre (o•.vnerslWl neme) Dale (manfh. daY. Y��
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revdmt ess of applicant (number and straet. city. state. aM ZIP wtle)
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Person auihonzetl by duly exeated Power of Attnmey or by IC 61.1-12-.07 oe�e (mmN, eay, yea�
Atltlress of aulhor¢ed person (number aM shee4 �Ry. sfate, aM Z!P mCe)