HomeMy WebLinkAboutMortgage_Steele"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Co owns r
__,_ POR DEDUCTION FROM ASSESSED VALUATION
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,,,,, ` Presvibed Ey OePartmeM of loW Govemmant Friarr,e �
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INSTRUCTIONS:
Form Ned wilh:
To be �led in person a by mail wiN the CountyAUditor or Counry Recorder o/ �he wunry where tAe properry is bcated. � �
Flting Dates: 7) Real Proparry: Must fite dunng fhe yrear /or which tha deduclion is saght. Auditor
2J MobBe / ManuFadured Homes rat assessed as ReaJ Propelly Must Ae durirg Me hveNe (72J mo�SO C ��rder
before Maich 31 of each year Ne deduction is sought T�
See �everse side /or additional instnictions end qualifications.
MaicO mcmbaU buyclr see re;nirSOru on re Sieel // .
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ge/ Contraa irdrbtedness unpaN as N e/ G
1. airterrt Ynm daM t�e af epPGc
If rnmed wiM samea�x
I( name on 2mN e Eirterent lhan that of appOpnt InOkate Debh'
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Name M rtart9�� ar mntract se4er , n
Md�ess d rt�omjage� w mntraG
m��«an���«
rdy, 5181e. entl ZIP rode)
woc�r �� eoy omn
❑ Yes ❑ No
Deduction aDO�+�'v� 4re amount
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Signad�re N Camb Md'rtur
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20 _ � 20 _ � 20
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:btedness unpal0 as d Is ihe aPP�I Me sde
i� kyal a eWitatle axneY!
O,J ❑ Yes ❑ No
spouse. irdkafe with vAwrn
Is t e propr.rty in Question: Mnuely Assessed
Real Roperty ❑ Mnually Assessed
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I I We certfy urMer the penatry of perjury that the aDOVe aM foregoing infwmalirn is true and mrtect arM that the applirant is a resideM of Indiana arM
owner / contraG buyer of Ne atorementioned property on date applicatlon is filed.
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F.iA �evtlent a0drrs of aPD���t (numDe�and sLee4 �: atate. antl
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person (number arN sbael, ciry, ste(e, aM ZIP oode)
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