HomeMy WebLinkAboutMortgage_GordonFarm 5 Reriead 1961
PrescnbM by tAe Stete Boe'd of Tea Commisaionen �
CERTIFICATE OF MORTGA'CE'OR�ONTRACT INDEBTEDNESS
TO BE FILED IN PERSON OR BY MAIL [N DUPLICATE EACH YEAR BY THE OWNER WITH THE COUNTY AUDITOR
'(IN WHICH THE PROPERTY IS LOCATED) BETWEEN MARCH 1 AND MAY 10, INCLUSIVE
�(6-1.1-12-1 THROUGH 8-1.1-12-8) � ��`���jjj
— "'QUALIFICATIONS ON BACK°• �
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STATE OF INDIANA ���.b S oti COUNTY, ss: �
� I, (Ne) � (L L- P_ 4 . �- _ h � t�/� � �'-iq
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certify that I, (We) was/were 1 al resident(s) of the State ot Indiana and owner(s) of real property on March 1, 19 �-and that this
statement is made for the purpose of obtaining a deduction from that real property located in Taxing District (City, Town, Township)
�� ��yf . C'��/�, Described to wit:
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FViug Fs E�.Oo
Legal Description/or Key Number
Name on property tarz records if different from above?
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z Are you the sole legal or equitable owner of the real estate? Yes No a� � D� � r
� Q (/
a If no, what is your exact share of interest in it? OOO
� n� l � ' 1 O'� 30
� Assessed value of real estate as of March 1, wrrent year a'��` ��'� ���-�� �/
� Amount of D1ortgage or Contract Indebtedness unpaid as of March 1, current year 3�/Ddn �
��,D7ortgage or Contract recorded �-�1�LJ�QQ�,.� County Recorder's Office, Record No. � Page,r%2 7�
� • Name and address ot mortgagee or cmtract seller � h P_ C� c�Jl �Ol� �,� ,��� f���h� �
�� Do you know it there is any assignee or bona fide owner or holder of the mortgage or contract? Pes —, Na It yes,
what is the name and residence? %C7 {'D —/,�9� �7 �
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zDoes the owner of the above. described real� property own real property in any other County in the 3tate of Indiana?
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(j Yes No If yes, what County and Taxing District? �
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� Has this deduMion been requested on that property for the current year? Yes A'o
(Jj tUnount Allowed � � �Ib
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z COUNTY BOARD OF REVIEW
�„i ACTION
E.Wy APPROVED IN AMOUNT OF S ��C
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A SECREfA OF BG D
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'See False Statemen[ Penalty Below
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.a�_� � IOM'\'ER IL\ ME, �
�PERSO\ AU1}10RIZED BY OULY E%ECVI'EU PoWER OF ATNRNES}
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(FULL D. CE eCDDRF.SS�Nt.�— MU�T BE GI� \)
IADDRFSS OF AUTHORIZED PER50\)
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