HomeMy WebLinkAboutMortgage_Marshall (3)rt�' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS �� '� �" '� �
' ' FOR DEDUCTION FROM ASSESSED VALUATION �nun Township j Year
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� PrescribedbyDepartmentofLOCalGovemmenlFinance I_'Hr f noo�
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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)
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Taxing Distrid ey number / legal description Record number
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Page number
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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�
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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
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