HomeMy WebLinkAboutMortgage_Linneweber<<Y�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION Count Township Year
�j, S�ate Fwm 43709 (R6l 5-06)
� Presaibed by Department of Local Govemment Finance �
INSTRUCTIONS: File Mark
To be filed in pe�son or by mail with the County Auditor o/ the county where the propeRy is locat�B 1 5 ZQ��
Filing Dates: 1) Real Property: During the 12 months 6e%ie ,lune Il ol the year the deduction is to be effective.
2J Mobile Homes assessed unde� IC 6-1.1 J: Between January 15 and March 2 0l the�aeChlh�6on is to be effective.
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See �everse side for additional instrucUons and qualifications. G�gSON COUNTY AUOITOR
Applicant (owneior buyer- see restriction reverse side) •
Tauing Distrid Key number! legal description Record number
-3 a-�o ��� 'fl Page number � ^
8
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Assessed value of rea property as of MoRgage / Contrad indebtedness unpaid as of Is the applipnt the sole legal or equitable
March 1, current year March 1, current year owneR ❑ Yes ❑ No
50 �
If no, what is his / her exact share of interest?__ If owned with someone other than spouse, indicate with whom.
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If name on record is different than that ; property in queslion:
aV V�- �p ! / 2ea1 Properly ❑ Mobile Home (IC 61.1-�
e of mortgagee or contrad seller '� -
Address of mortgagee or conVad sell� �
; �� � �
Name of assignee or other owner or h •
Address of assignee (number and str: � ;
Does a lipnt own ro e R
pp p p rty in any o '�� p�'�' Has this dedudion been requested on
counfy in Indiana? property for wrrent yea(? � Yes O No
�/� � ���- "G, GGU, o a
Deduction approved in the amount of: — --- -- _
20 �S 20 � 20 20 20 20 20
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Signature County Audilor Date
e certify under the penalry of perjury that the above and foregoing infortnation is lrue and corred and that the applicants was / were
sident of Indiana and owner of ihe aforementioned property on March 1, 20
Si at re (owne 1 name) Person authorized by duly executed Power of Attomey
� or by IC 6-1.1-12-.07
Ful esident address of appli nt Address of authorized person
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