HomeMy WebLinkAboutMortgage_Richards'.P'°^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
.
FOR DEDUCTION FROM ASSESSED VALUATION
s�a F«m aa�os �Ra � z-0» � ' �
�� .•,• � Aesoibed by DeparVnent of lacal Go�emment Firence �...'. �i
l File Mark
INSTRUCTIONS:
To be filed in person or by mad with the CourRyAudifnr o/ the counfy where fhe pioperty is located. U �, � 2 j t Q Q$
Fding Dates: 1J Real PropeRy: Dunng the 72 rtronfhs be/ore June 77 W the year the deduction is to be effective.
2J Mobiie Hames assessed under IC bf. f-7: Behveen January 15 and March 2 of the year the deductirn is to be eAective.
See reverse side fo�additional instructions aM quelificafioru. _ . .' il� �k�
I AvW�M
�
� AQessed vdlue of real popaly as of MaN� 1. aarent ye�r
el[2U 5h2le M it11El¢5�?
� If �me on reewd is d'Afarertl Ihan thai of applican4 ����e 6elow:
Name of nwrtgagee ar m�tract seller �\ i./
r ��.
Address ot rtaAgagce « mntraa seiler (number and 9reeC dty. sfa(e, and
w dher avner a hdUer of mortgage
nttact irWebledness unpaid as of March 1,
�3a;oe�
Address of assignee (mm'ber arM sfieef, crty. state. and LP code)
Dces applicaM own praperly in arry olher � ' �—� � � ��
courrty in Indiana7
❑ Yes ❑ No p, p
Dra���er \O�aQ•Q•:••• •?•1 —
� Deduction app'oved in Ihe amount of:
��
CardNO . ......:....:.........
�"�",_„ �3�,3��8:�° °
IReoo�d mmiba I Page rvm�
Is Ihe applimnt Ihe sde legal w equitahla wrtreR
❑Yes �No
spouse. indicaie wiUi whom.
Is the proparty in quesUon:
� R�I Properiy ❑ Mobile Hwne (IC 61.
Has ihis
(w arre
2�
been reques�etl an property
❑Yes ❑No
zo
�n�Q/ 1 .0 `�J l ,L— �nry✓ �T "'�LID Y�— I Dale ��O y�BI L/ �
I/ We� ihe p Ily of perjury the above and foregoing infortnation is We and cortect and Uiat ihe appiipnts was / were a residml oi
Indiana and owner of the a orementioned p erty on March 1, 20
�rmhre ./s� �\! �f\� Date(rteonth.daYY��)
address umbGr and sGeeG c'Ty, sWte, aM ZIP code� � � � �,
auUnrized by duy eceaite0 Power of Attomey a
Address of aWhorized person (numbe� arM streeG dty, state, arnl LP w0e)