HomeMy WebLinkAboutMortgage_Huchman'°+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS - u T p vear
__ , FOR DEDUCTION FROM ASSESSED VALUATION
sr�e � aa�os �a» i s-os� _
\ ! pfpy�yyyd py DepartmeM of Lo� Govemrtrerrt Finarwe -
� MAY �' �`�10
wsrnucnoNS: F� �� �
b be filed in person a by mail wiN the CountyAUditw or Counry Recnrder o/ Ne counry whele the property is bcated.
FiPog Dates: 7) Real Proparty: Must file dunrg the year for which the deduction is sought. -� unly Auditor
2) Mobde / Manulaclured Hortres rat assessed as Real Property: Must fiie dunng the tweHe (12) months
before Maich 37 of each yenr the deduction is swghG � ^ry Recordv
qIdBON
See reverse si0e for addiWnal insLucUons and qualificafions.
Appficant(yy+ierorconlydCbuyer'see rererseside) . _ /
T' D" - KeY nan6u l kyal desaiption Remrtl numEr+
� -�9- 9- .3-00% a-yo- oa-� �oi o
qsussep valu¢ nf real piopr,�ty as of Mwtpage/ Contraa intlebtedness unpaid as of Mor�qage I Contra�3 irWebtedness unpaiE as ot Is Ne
Me�sh 1. anatt ymr Mard� 1. I�� � O^ date o( aGP�� ��
V
11 m. wf�at is his I Irer exad share O( interest? I( awne0 wiM mmeme otF�er Ihan spause. mdrate with whom
tt name m ramtl is GRe2nt than that or a00aa� mne
Name ot rtqrtgagee a mnbact se4er �/ %
Pdd� of rtartgagce or mntracl se0er (mmher nd sa
Name of assignee w other awner w hdder at mortgage
AECress o7 assi�ee (numbar aM sneet uN. s te, and
Does e�iont wm praperty in any oNer
counry�nlndana? ❑ Yes ❑ No
Oe�uraon sovrvuad In tlx amount oF.
20 2b
Sigreeue N Co�a�b aidhor
�4 cdy, smle. erN LP code)
,P��.-- �e-�- / S
yes, what muntyl What Tad'g Dis
COUNTYAUDROR
2q � 20_
Caunry
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snt Ihe sda
ittade awneR
Yes ❑ No
�ty in Guestion: MnueDy A55esse0
�naenv ❑!v�,�Nass�d
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Dra�ver i\'O.c�,�,/,o _ ..
Card i\`O. .�� ,.�
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20 _ � 20
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I I We cerbfy under Ihe natty of perjury Nat above and toregoing infortnaGon is We and cortecl and Ihat Me appiv2nt is a resident of Indiana and
owner I contract bu�r f the afomme�rtioned roperty on date application is filed.
$IB (a� !u� name) I . e�n (; ..w . wY, Y`�'�
k i�%;,�
riry, atate, and
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Powet of AtmmeY a�' IC 61.142�]
Pddress of eW�a�aEd person (numberarM sbae4 �+b. ��.
Date (montA, dzl:Yea�