HomeMy WebLinkAboutMortgage_Arbuthnot""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
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+ FOR DEDUCTION FROM ASSESSED VALUATION
sr�e r-or� aa�oa (R» i s-os�
S � PreuriDed by DepartmeM of Lpai Govemment Firence
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INSTRUCTIONS:
To be �(ed in person or 6y mail wiN !he CountyAuditor or Counfy Recorder of the county wFiere Ihe pioperty is located.
Fiflng Dates: 1) Real Property: Must file dunng fhe year (or which the deduction is sought.
2) Mo6ile /Manufadured Homes not assessed as Real Property: Must file dunng the fweNe (12J months
6efore March 31 0! each yea� the deduction is sought.
See reverse side (or additional insVUCtions and qualifications.
Aoofrant (o-wner m con4arl Gurer - see iesLiftw�s m re�erse sitleY
Ta ' OistruY, Key rwmber / al tlrsmption Remrtl number
- / - �-/ - 300 -000. ai� - 01S 200
Azsessed vaWe d real qopsty as of Morigage / ContraG iMehtedn�s unpaid as af Mortgage / ContraU iMebtetlrress unpaid as M
�,.�,�. �ro,,��,��T 9(v, daoDp�°`�'
It m, whai 5 his I her exaG share o( interest? �
N rwne on remtl is dilferen[ Nan Nat af appOCant, iMifate Delow:
Name of rtnrtgagea or mntract seller n � �
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Address of mMgagee or mntracl seDer (nun6er aM shee4 uq: state.
Name of assignee w other awner or hdder ot morigage
AOdress of =«+nee (number aM sLeet d+Y. s+efe, aM ZIP cotle)
Counry Auditor
C�o49ry Recorder
Page
Is Ihe appaant Ne sole
legal «eQUipde amef!
❑ Yes ❑ No
Is Ne WoGertY in Ouestim: MnuaM AwsseO
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Ca1'C� l�i�. ....� 7$ -
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Oces app�am wm pfoperry in any oNer If yes. �Mfat munt7/1 VYhat Tari(g Distrir27 Has Ihis Ceoumu� �..,.... _. I
munp' in IMiana? n No (or ameN yeaR ❑ Ye5 ❑ No
n Yes