HomeMy WebLinkAboutMortgage_Howard (2)^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
_ � POR DEDUCTION FROM ASSESSED VALUATION
. � State Fwm 43709 (R71 / 609)
�' j Presaibed by DepartmeM of Lual GovemrtmM Frence -
File Mark
INSTRUCTIONS:
To be filed in person or by mail with the CounryAuditor or Counry RecoNer o/ the counry where the property is located.
Filing Dates: i) Real Property: Musf file dunig Ne year Por which Iha deduction is soughL Counry Auditor
2) Mobi/e / ManuFactured Hortres nof assessed as Real Properry: Must file during fhe fwelve (12) months
6efore March 31 of each year [he deduction is saght �s.,�,��.����d�
Saereversesidefor�tlkionalinstructionsarMqu�ifica�ions. r_ioenu r`nIlA1TV AIIf1iT(1R
Keynumber/���, �/-���o.37So-za Rec°bnum6er Pagenumber �
00 .5 7 �!
Yreal poperty as ot Alortpaqe / Contraa indeMednc^s unpaid as of Mongage I CanVar� uWebtedness �mpaid as d Is the appfirant Me sde
yrar Mamh i, artrm year Oate oi aOP�� legal «equilade wmeY.+
a 'j ❑ Yes ❑ No
/ hM eract shara o( interest? If wmed wiih somew�e other Ihan spouse. 4dimte with whom
It name on rtmd is diRerent Nan thai ot appOCant, Ndirate bebw:
Name at rtwrtgagee or coniraG seller
w mntrad se0er (nwriDer antl sbeet rlfy. 5afe,
(number aM s1ree; tlty: stafe. eM Z/P cotle)
Dces epplimnt own pmperty in any olher
munry in Ind"eria? ❑ Yes
❑ No
Deduction approved in the amount oF.
20 20
Caunry Aud'rtur
I We c rtfy under enal of periury t
ovmer / ontraG bu r of ttie aforemerttio
. SianaNre (owners hA rartrel �
u yes.
code)
Is tl�e properry in Question: MnueM A.sessed
❑ Real Roperty Q FvmuaOy 0.�
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couNn nuorroR
Card NO. .:�..�..y�`--.... —
�` � 7, c S y- � ° -
20 20 20 2Q _ 20 _
��ry ��,�. �a9-0
the above aM (oregoing infortnation is W e and cortect arM that Ne appircant is a resident of Indiana and
pmperty on date application is filed.
Date (rtwnfi. daY. Y��
IC 67.1-12-0]
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Address of a Wwfrsed pereon (number antl strcet, cuy, stale, an0 ZIP ootle) . I
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