HomeMy WebLinkAboutMortgage_Hurst.�"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
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�' � Presmbed by Departrtrenl d Lowl Govemmerd Finarice
INS7RUCTIONS:
To be filed in person or by mad wifh Me CourMyAuditorW the courrty where the propeAy is bcated.
Fd'mg Dates: i) Real Prope/ty: During the 12 monMs be(ore June 11 0/ the year the deducbon is to be e//ective.
2) Mobik Homes assessed �mder IC 6-7.1-7: Behveen January 15 end March 2 of the year the deduction is to b�cti}e. Z��9
See reverse side /a additional insWctions aiW qualificafions.
npqicarK(ama� wnha�ibuyer-seeresrfcliq�spnreverse�pe) Q"�} .r
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aFimerest?
If reme m recartl is EiffereM Uan lhat of applicarit,
Name of rtartgagee or cmlraU seller
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IAddress af mortgagae a mnVad seiler (number and abee4 dA'. s6te. ard LP rnAe)
Name of assiAnee a other awnet a hdder ot maApsge
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IiraM am paperry in arry other
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Sig�ature o
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Pddr ,r..s of a�n _-" ...�, ..�e�a. afM LP
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❑Yes ❑No
irWirafe with whom.
Is Ne praperty in queslion:
O Real Piwertv ❑ Moble Hane OC G7.
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requeste0 on poperty
❑Yes ❑ No
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ihe app6ranfs was I were a resident oi
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