HomeMy WebLinkAboutMortgage_Overton^�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
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= FOR DEDUCTION FROM ASSESSED VALUATION
, State Fam 037W (R71 / 6O9)
�• ! Presoibed by DepartmeM of Laal GovemrtreN F�nca
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asrRUCnoNS:
b be filed in person or by mail wdh the CountyAUditw or Counry Recwder of the county where the poperty is l�ed� F�
Fding Dates: i) Real Pmperty: Must file durnig the yearlor which the deduction is sought. � Counry Auditnr
2� �� Ma�n 3 of each year the dedeucfion is sougM �� Musf h7e during fhe lwefve (12J monthso CT 2�0 �,nry Recorder
See reverse side for addifionel insVUCtbns end qual�cafions.
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Aoofirant(owcecmcontraUDYYer-seemsvictionymreversesitla) y �'
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ofinte25l?
' �89-oas I
- �a-000,
ct indebteCness unpaid as o( Mongage / Convact in0ebteAness unpaid as o�
fqr tlate of application
If nazne on record a EiRerrnt Nan that af aPpkant, Indiqte �elow:
Name W rtnrtga9ee or mnttxt seller ���
Address of mar[ga9ee w contrad se�er (num6ar and shee4 cify, state, ald ZIP coda)
twlaer W mortgage
Dces epplinnt wm property in any other
counry m InOiana? ❑ Yes
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D¢EuGtiOn appoved T Cre amaunl of.
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sy�aaAe ur c�,ry nw��
tl y, sfate. and ZIP tode)
It owned wiN someone dher ttian
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Yes LI No
IM property in Question: MnuaDy Assesv.d
] Real PfoP�NY O /4mualy Assessed
Has tha dedudian Deen repuestetl m pmperty
tor w�rent yeaR n Ves n No
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�Y��
I/ We certify under Ne penalry of perjury Nat Ne above ar � .���urtnation is We and correct a`W Nat ihe applirant is a resident of I�iana and
owner I contracl buyer of ihe aforementioned pmperty on aate applirabon is filed.
aWnr�d Dy Outy ezecuteE Power
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w Oy
/dCressotauthorrzedperson (num6eraM5bee4�y.sfafe,andZlPCOde)
' . _ I Date (monN. tlzy,