HomeMy WebLinkAboutMortgage_Ritzs Cafe^'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
:. --
= FOR DEDUCTION FROM ASSESSED VALUATION
• StaieFortn43709IR71/fiW)
S ` Presaibed by Departmenl ol Local Govemmenl Friance
„" ' M
JSTRUCT70NS: m�
To be filed in person or by mail wi[h the CountyAuditor or Counry Recorder ot the county where the pioperty is located
F7ing Dates: 1) Real Properry: Must file during the year for which the deduction is sought County Audimr
2) MobAe / Manufactured Homes not assessed as Real Property: Musf fiie duAng the fweNe (72) months
6efore Maich 37 0( each year Ne deduclion is sought. U L� i C�� Recorder
See reverse side /or additional instmcGOns and qvalifications.
(owncrortontraUbuyEr-seeresLiUnnsmreeersesitle) . �
ilaessed va4e d mal popertY as d
Mart3� 7. Mre�rt'pr
tt rw, what ts his / her esact shara o'�
11 narte m recatl
Nartre ot mortgagee « conttact seAer
Address of mort9a9ee or cantract sea
Name of assignee or other owner or t
Pddress
Key nunber / legal tle
a �- �s-
tant uWifate bebw:
'_i�
ier and street �Y. stafe.
mortgage
slate, aM�IPcode)
. o -000. �SS -o �,� IS3/
kOCed�ss unpaid as ot Mwigage / ContrzC inAebtetlness unpaid as W Is Ne applirant the sok
tlate of appLptm �gai or eWitaNe rnmell
I � 8 ❑ Yes ❑ No
tt awned vri� sorneone ott�u ua spouse. udicate wM xlirnn
Is tM P��G�nY in Gues�on: MnuaDY Assessed
�(Rea� Provertv ❑ �^�M � . . .
ry in oNer I If yes, what muntyl
❑ es ❑ No
amouni of
20 _ � 20
of
I I We certify under Ne penalry of
pWner I contract buyer of lhe afor
�"�'��
Nas �his Eetlurtion Deen rc9uesteE m piopeny
rur wrre�n yean n.,_ n
COUNTVAUDROR
20 20 20 � �
�� S
Counry
Ne abo foregoing intortnaGOn is we and a l� �/�/
prope date ap0���bon is filed.
(V
Oy
IC 61.142�]
a�ntror¢ed perswi (num6e� aM streaG cdy, sta(e,
Date (rnonth. dal: Ye�)