HomeMy WebLinkAboutMortgage_Robbinsr, � STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS
°�i'' s FOR DEDUCTION FROM ASSESSED VALUATION. C o s p Ye r
� Stata Farm 43709 (R6 / 5-06)
� Presaibed by Depanmenl of Local Govemment Finante �� /\
v
INSTRUCTIONS: Fil rk
To be (iled in person or by mail with the County Audito� o/ the county where fhe property is located.
Filing Dates: 7) Real Property: During the 12 months be(ore. ,lune Il of the year the deduction is to�� �N� AIJDITOR
2) Mobile Homes assessed under IC 6-1.1-7: Between January 15 and March 2 o/the yeai the deduc6on is to be elfective.
See reverse srde for additional insfiuctions and qualfications.
ied value �
1. CurreM
If no, what is
on
mber / legal description
/�a G o3a � 005�,
�
Record
Page number
property � pf Mortgage / Contrad indebtedness unpaid as of Is the a
�/ March 1, cunent year owneR
. �- ��-�_ �/�l�
exad share af interest?
name on record is different than ihat of
of moAgapee w contrad seller
Address of mortgagee or contrad seller (number
Name of
county in I
i i
i�
Signature
a other owner or holder of mortgage
(numberand street,-city, state, ZIP
propeM in arry other
. � ' ,
•
•! •
below:
t the sole legal or equitable
� Yes ❑ No
If owned with someone other than spouse, indicate with whom.
city, state, ZIP
Is the property in question:
❑ Real Properly ❑ Mobite Hortie (IC 61.
what county7 What Taxing Distrid? Has this dedudion been requested on
_ property for wrrent yea(? � Yes ❑ No
sPu�z TA,ea o
��1p�00 J
I �� �=�-_ �
►I
)UNTY AUDITOR
[i7
County Auditor
20
20
Date
20
certify under the penalty of perjury that the above and foregoing information is true and corred and ihat the applicants was / were
lent ot Indiana and owner of the aforementioned property on March 1, 20
Person authorized by duly executed Power of Attomey
- • `". -or by IC 6-1.1-12-.07
ull resident addreu of applipnt Address of authorized person
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