HomeMy WebLinkAboutMortgage_Cargal^'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship vear
_. = FOR DEDUCTION FROM ASSESSED VALUATION
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�• / p�¢Wjp¢tl py pepartmerLL of LOfal Govemment Fnence
"'� File Mark
JSTRUCTIONS: F� � �:
To be filed in person w by mail with the CountyAuditor or Counry Recader o/ the counly�whe [he p? rty is located.
Fil'mg Dates: 7) Real Property: Must file during fhe year /or which Ne deduction is soirtjh� � �� [ � Counry Auditor
2J Mo6de / Manufactured Homes not assessed as Real Property Must file dunng the hvelve (12) months �unty Recorder
before March 31 of each year the deduction is swght C. �. M,.,.�. �
See reverse side ditional insUVCtions and qualificafions. v� \
App5ram(owner uyer �"^ mleve+sesi,�) �'� � N COUNTY AUDITOR
I vahie d rpal pfopeM1y a d
aa`rst Ymr
Key rvunhu
Mortpape/
Mamh 1. a
rc ro, what is his / her exaa share or interest?
It rwne on 2caE's tlilferenl Nan Nat ot aPP��L trWipl
Nartre W niort9a9ee m cnntract se4er /,
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Pddress oi mM9agee a oontract se0er (`u-..
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Deduction
20
sigrenne
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"uMeMeCness unpaiE as d Is Ue applkant Me sole
legal weWitable ame/?
❑ Yes ❑ No
someane oNer than spouse, imlirete wilh whom
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Is the property in question: MnuaOy AssesseE
❑ Rea1 Propenv ❑ n^m,a�N ws�sed
Abdle Hpne (IC 61.
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� P�Y
20
I/ We certify under ihe penalry ot perjury that Ne above and foregoing infomution is We and cartect ar�d Nat ihe appliran[ is a resident of Indiana ard
owner I contract buVer of the afotementioned property on date applicalion is filed.
Sigrenue
Ptldress
ot appGrant
sfate,
Oy duly erzecu�eE Pov.er of AllameY a bY IC 67.1-12-0.7
red pusc�n (number arM sLee4 �: sble, en0 LP cadej
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Date (rtmfi, day,
Dace (monN. daY. Ya�