HomeMy WebLinkAboutMortgage_Flener (2)^�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ _: FOR DEDUCTION FROM ASSESSED VALUATION
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�` ,�,� f Prew�2etl Dy Departmenl of Loral Gmemment Ftance
File Mark
INSTRUCTIONS:
To be ned in person w by mail vnfh the Counry Audifor or Counry Recorder o/ the aounry where [he pioperty is located.
Fii'mg Dates: 7) Real Properry: Must fde during the year for whirh fhe ded�ction is sought. nty Auditor
2) Mo6ile / Manufactured Homes nof essessed as Real Property: Must file dunng the fweNe (72) months ��� ❑
before March 31 o/each year the deduction is sought. u Recorder
See reverse side for additional instructbns a� quali�cations. GI BSON COU NTY AU D ITO R
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p� �ue o( mal pmpaty as d Alo�(qag� / Cantraa udrbte0�ss unpaid as of Mongage I Contracl uMehteMess unpaid a d Is the appGranl Me sale
Martl� 7. ammt year Mard� 1, artent yeer Eate o( e0p�^ legal w equitaWe o•nM
ff �f . /f�U ❑ Yes ❑ No
ro, whal'S his I Mr e�act �are of interest�
If rame on recad is dd(e�atl tAan Nat
Name W morc�agee or mnbaU uAer C' // / �7�
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L.X�'
Address of mortgagee w contract se�er (numbu and 4 ciH, state.
a other owner or hdder M mortga9e
oi asvgnce (number aM stree; tlry. state,
iiWMate vrith �Mwm
Is Me property in question: MnuaM Assessed
�Real ProPeKY ❑ A!m!�' A�sed
Does appli�an[ own P�7ertY in any oNer I If yes. what counry!? I VJhat Ta�dng D'avifY? I Has ths tleduaion been re7uesteE on DropenY I
cwnry in IM'ana? n �e� n n�.. for armnt W� ❑ Ye5 ❑ No