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HomeMy WebLinkAboutMortgage_Marshall (3)rt�' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS �� '� �" '� � ' ' FOR DEDUCTION FROM ASSESSED VALUATION �nun Township j Year � �.: J SUte Fwm 43709 (R4 / 16-01) -�. -� .�' "' '""_.� ` . -' �u. � PrescribedbyDepartmentofLOCalGovemmenlFinance I_'Hr f noo� L ,� INSTRUCTIONS: qF'�j� Mark . To be filed in person or by mail with the County Auditor o/ the county whe2 fhe property is locat_ rIBS�tJ COUN7Y AUD� Filing Dates: 1) Real Prope�ty: During the 12 months be%ie May 11 of the year the deduction is to de e ec6ve. 2) Mobile Homes assessed under IC 61.1-7: Belween January 15 and March 31 of the year the deduction is to be eHective. See 2verse side lor additional instructions and qualifications. Applicant (owner or contract buyer- see resMc6ons on reverse side) 1-- Taxing Distrid ey number / legal description Record number � Page number � � � — Assessed value of real property as of MoAgage / Contrad indebtedness unpaid as of Is the applican the sole legal or equitable March 1, current year March 1, current year ownef? s❑ No � oas If no, what is his / her exad share of interest? If owned with someone other than spouse, indicate with whom. If name on record is dif(erent than that of applicanf, indicate below: Is the property in question: eal Properiy ❑ Mobile Home (IC 61.1-� �me of mortgagee or contrad seiler , Address of mortgag or contract seller (number and stieet, city, state, ZIP Name of assignee or other owner ar holder of mortgage Address of assignee (num6er and st�eet, city, state, ZIP code) Does applicant own property in any other If yes, what county? What Taxing Distrid? Has this deduction been requested on county in Indiana? property for current yeaR � Yes ❑ No COUNTY AUDITOR Deduction approved in ihe amount of: 2o p.,�_ zo zo D.f zo � zo 0'1 20 �$_ 2o s� � f' � P � � Signature County Auditor Date �I/ We certify under lhe penalty of perjury that the above and foregoing informalion is irue and corred and lhat the applicants was / were a resident of Indiana and owner of the aforementioned property on March 1, 20 Signature ers 1 na ) Person authorized by duly executed Power of Attomey or by IC 6-1.1-12-.07 F I resident address o applicant y' Address of authorized person .SO,q /✓. GtFd,eC�{ �T• r �B C� I .