HomeMy WebLinkAboutMortgage_Wilzbacher.� °•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
? FOR DEDUCTION FROM ASSESSED VALUATION
s�ie F«m as�os �aa i zm�
�'•; : Prcw;bea o-i oepanmen� or �ocal c,a�,emma,� Finance
File Mark
�NSrRUCnoNS: JUL 2 5 2008
To be filed in person or by mad wrth Ute CountyAuditor of the courrty where the pmperty is located.
Fd'mg Dates: 1J Real Properly: Dunng Me 12 months be(ore June 17 ot the year the deduttion is to be etfec6ve.
2) Mobile Homes assessed under fC fr1.7-7: 8ehveen January 75 and March 2 olthe year the deduttion is`to;bp eflec�f/
See reverse side lor addifional instructions and quali(wtions. 0���"}j '�
Applicanl (o or mnUad buyer - see ie ' on reverse sd
Taprg DisUid Key rnunber I legal tlesaiption R��
(o-/ -/�-�vj - Doo.sy�! -��6 �
ralue of real pioperty as d Mard� 1, artenl year MMgage I Coniract i�debtedness unpaid as of March 1, Is Ihe app6pnl I
artent year / 0 � o O
If ��hat is his 1 her exad share af intetesl7 If owned wdh someone ollrer ihan spouse. ir�dicate
if name on recwtl is tlif(erent Ihan Nat
Name ot mortgagee or
Address of rtwrtgagee a conirad seller (rwmber aM streef, dty.
Name of assi9nee w dher owner w hdder d martge9e
Address of assignee (number arM sfree(, city. sfate, ard
Does applicanl orm property in airy olher
caurLLy in Indiana?
❑Yes ❑ No
Deduction approved in the amount of:
p P �
Sigrature of CounlyAuditor
�
�n� o P� �
33
�e sde legal w equitade ovmeR
❑Yes � No
Is Ihe property in question:
❑ Real Pmperly ❑ Mobile Home QC G7.1-7)
Ii yes. wha� countyT �' �_-- �� �Q ��� d on PmpertY
Dra�ver 1�• es ❑ No
r�
� �� , —
COUNTYAI CardNO.......�;••••• oa
w�� � �
�� .. � -
20 I � 20 _ 20 20
Cwnty Dale (month. day, yea�
1/ We certfy under the penalty of perjury that the above and foregoing infomiation is true and corteU and that the applitanLS was / were a residenl of
Indiana and owner of the aforemenfioned property on March 1, 20
.......�.e �,,..,.,a�� eai..e,.,si Dale (rtronfh, day, year)
�sidenl addrrss of appCicaM (numbe� end sGeet raty. sUte. aiH Z(P ootle)
Sq� � 5��� 5� � ���� f ��
Prnon auilwiized by duy erzearied Powel of fLLlnmeY or by IC 61.7-12-.07
Pddress of aullnr¢etl persan (numbei aM sLeet, cAy. sfafe, aM LP mde)
Oate (manih. day. yea�