HomeMy WebLinkAboutMortgage_Hayes°'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION .. .�
Slata Fartn 43709 (R8/ 2-07) '
�' .. .' � Prcunbed by Oepartrt�enl ot Laal Govammenl Finance . ��
�9 �
File Mark
INSTRUCTIONS: Q LUUiS
To be filed in person wby mad with the CourrtyAud'rtor o/the courrty where fhe properfy is located. N�V �
Fding Dates: 7J Real Prope�ly: During the 72 monU,s be/are June 17 d the yearUre deduction is fo be eitecGve. �
2J Mobile Hames assessed undar IC 67.7-7: Behveen January 15 and March 2 of the year the deductiar is to be efiective. � ti-
See
� 6- - - o. �b�
A�esed �dlUe Of real PmpatY a5 of Marfh 1. aarenll�� �Ba9e / COnUad inde
aR�� S
Ir no, what is his / her exaa shara ot imerest?
I�e m recad is diR�aent Ihan Ihal of applicanl. indinte 6elor.
Name af rtrorigagee or cmiraU seller r -
�r
ndd�ess or mongayee « cv,uaa seller (numne. ane .#reec �r. sta(e, ara z�a code)
Narne of assignee a aU�er owner « hd0er d mwiga9e
Address of assgnee (�xuMar arM sheet.
Oces applicant awn poperty in arry olher
caunry in Indiana?
❑Yes ❑ No
Deduction approved in �he arnount of:
2b
SigreWre af Counry AuNlor
�
9ate, and LP code)
It yes.
as of March 7
If awned with someone
Ta�dng DisUi�i7
2p _ I 2p � I 20
�R oq—L��
Is 1he apPli�m vie soie legal n equilaae n
❑Yes ❑ No
Is Ihe proparty in question:
❑ Real Prvperty ❑ Mobile Hane
Has ihis deductia� been
forwrtenlYeaY?
20 _
uesteu on property
❑Yes ❑No
Date (mmth. daY. Y��)
�
I/ We cerGfy under Ihe penalty of perjury that the above and foregoing information is We and mrred and that the applicants was I were a resident of
Indiana and owner of the aforementionetl property on Mardi 7, 20
�ta4ue,(Q. Itdlname) /� �_�
� Date (monfh. daY. Y�A
sfafe.
Powar of Altmiey or by IC
afaut7iorizedpersai (num6eraMstreet
g
day