HomeMy WebLinkAboutMortgage_Sheridan.r "'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
Stale Farm 43709 (R8 / 2�7)
s•;, 1 Presaibed by Depanment of Local Govemment Finance
F' e a
INSTRUCTIONS:
To 6e filed in person or by mail with the CountyAuditor of the county where fhe pioperty is located. �
Filing Dates: 1) Real Pioperfy: During the 72 months befae June 17 0/ the year the deduction is to be ellective. QD
2) Mobile Homes assessed under IC 6-1.1-7: Behveen January 15 and March 2 o/the year the deduction is to be eHectiv�009
See reverse side la additional insWCtions a�M quali(cations.
App�icant (owner or m d dryer - see rastric6ons m re "de) a"
C,IBSON COUNTY A DITOR
T� isVict e Key r/ leg descri ' n Record n be Page number
•ODO . 5 5, -8 a 2 �� ���
Assessed ralue af real property as of Mamh 1. aarenl year Mortgage / Contra irdeblednass unpaid as of March 1. Is Ihe applipnt Ihe sole legal w equifade o+rt�eYl
arrent year � a �
❑Yes ❑ No
��, whal is his / her �M share of iirierest? If owned wilh someone other ihan spouse, indicafe with whom.
record is d'rfterent U�an ihal of applicant, indirate �1 Is Ihe property in quasUon:
� '] ❑ Real Pioperty ❑ Mobile Home
rtqrtgagee ar
Address of mortgagee w mnlrad sailer (number enE sfreef, tity. state, aW LP cnde)
� Nama of assignee w otner oaner ar hdder of mMgage
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