HomeMy WebLinkAboutMortgage_Garrett (2)� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
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Presaibed Dy Depenment ol Lotal Guvemment Finance
INSTRUCTIONS: Hu� �Fi1�W�a�
To 6e filed in person or 6y mail with lhe County Auditor of the county where the property is located.� �
Filing Dates: 1) Real Property: Dunng the 12 months beiore May 11 of the year the deduction is to be eflec[ive �
2J Mobile Homes assessed under IC 6-1 J-7: Between January 15 and March 2 of the yearth'e'deduotlon`is fa�effective.
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See reverse side for additional instructions and qualifications.
Applicant (own r co tract 6uyer - seeI
Mi� � 1
Tauing Distrid
�
Assessed value of real property as of
March 1, cunent year
If no, what is his / her exact share of interest?
on rev�rse side)
Key number / legal description Record number �� /
.
Page number
Mortgage / Contrad indebtedness unpaid as of Is the applicant the sole legal or e
March 1, current year owneR 0'rs ❑ No
/8d OC�
If owned wilh someone other lhan spouse, indicate with whom.
If name on record is different lhan thal of applicant, indicate below:
'ame of mortgagee or contraU selier
�/�UO/y�Q -- -
Address of moAgagee or contrad seller (number and �„�ty, state, ZIP _____
Name of assignee or other owner or holder of mortgage
Address of assignee (number and st2et, city, state, ZIP code)
Does applicant own property in any olher If yes, what county? I WI
counfy in Indiana?
20
Signature
the
Is the roperty in question:
�I Property ❑ Mobile Home (IC Et.t-�
Drawer NO. ��;�L� �
............
� . n
Card i\'O. ...'/��/�
!r p •••••........ :quested on
� �p, �� � Yes 0 No
COUNTY AUDITOR
��� � � �����
� p P
County Auditor
20 � � 20
Date
��
/ We certify under the penalty of perjury that the above and foregoing information is true and corred and lhat the applicants was / were
resident of Indiana and owner of the aforemenlioned property on March 1, 20
execuled Power ot Attorney
or by IC 6-1.1-12-.07
address of authorized person