HomeMy WebLinkAboutMortgage_Blankenberger.r°'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
� s�te F«m as�os (Ra i z-0�>
�' j Presoibed by Department of Lacal Govemment Firence
File MaAc
lNSTRUCTIONS: � ����
To be filed rn person or by mad wdh the CountyAuditor o/ the county where the property is locafed.
FPing Dates: i) Real Property Dunng the 12 months be/ae June 77 of the year the deduc6on is to be e e.
2J Mobile Homes assessed under IC Crl.l-7: Behveen January 75 and March 2 o/the year ded ec e.
See reverse side Jor additional insWCtions arM quali(cations. ,
1f
Name
W�'ei
side)
rid Key n�`{ legal desaiptbn�/- qp /i rc� �
p� l0 ��r �� ��OZ7 • O i 3 N COUNT
alu¢ uF inal popmty as of March 1. arrenl y�r Mortgage1j'.ontract in0ebtedness unpaid as of March 1. Is Ihe appG�nl Uie
ainenl CcDi 3 O Q�
is his I her ezact share of inlerest? If owned wilh someone Wher ihan spouse, irWicale wil
on record is d'Ateren� Ihan
of morlgagce w mntrad seller (numbu an0 sfreel.
oi assignee or oU�er owner or iwlder of mwtgage
Address M assignee (nurtrber erM slreeL city, sfate, antl ZIP mde)
Does applicant own property in erry dher I IF yes. whffi oountJ�
oounry in Indana7 -
❑Yes ❑Nn. - �
�'�'A.9i`� TM
,.���� �o -
Deduction approved in � I �l '
D'aUid?
❑Yes ❑ No
is the property in question:
❑ Real PmceM ❑ Mobile Home (IC Cr1.
Has Ihis deduc]ion Eeen requestetl on praperty
far artenl yeaR
❑ Yes ❑ No
� 'C1l�Ci���v/-u%•��)•�, 20 20_ 20
20 —
o � ��, p� • � " � �� � Counry Offie (rtqpjh. Y �i
Y/I�� % ) ���—�(J
v
I! We Oertify und� penalty of pe ury Uiat the above and foregoing infortnation is true and corted and that the applipnts was I were a residenl of
Indiana and own oi ihe aforemen � ed propeAy on March 7, 20
7�/�rnvnefshdl�'\1 '_.I.,,.. �.� ..e l� Dateirr�^ ay. / Or'lO
U l/
a by IC 61.1-72-.07
Address M aWhoraed person (numbe�arrd s6eet cify. state,
Dale (rtanih, tlay. yea�
?� y-al-o�