HomeMy WebLinkAboutMortgage_Meade�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
_ FOR DEDUCTION FROM ASSESSED VALUATION
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S � rresrnma ny oepenment a wcal co�enn„�n Firer�ce
lNS7RUCTIONS:
To be filed in person w 6y mad with the CourttyAudrtor W the courrty wheia the piopeRy is bcated.
Fding Dates: 1) Real Rvper(y: During lhe 12 monMs before June 71 d the year fhe deduction is to be elfective. `^
2) Mobile Homes assessed wider IC E7.1-7: Behveen January f 5 erM March 2 of fhe year the deduc6on is �
See reverse side for edditionel insWctions a� qua�imations. GIBSON
Appijcant (owne! or wnfiad buyar- see restrictiogs m leverse sde) /% Lz _ .
7�anenl y�r M
�r n, what is nis � ner exaa snare a imeresn
If�m rernra is difierent Ihan Ihat of eppiceM, i�c
Name af nartgagea or oonlract seller ^
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nmress of monqayee « convaa saller (numeer e,w s0
Nama of assignee or dher awner or holder of mortgaga
Address of assignee (man6er arM sLeeL dA% sfate, antl
Dces applicaM own propeM1y in arry dhx
counly in Indaia7
❑Yes oNo
Deduction appmved in U�e amouN of:
zo D9 zo
Sigre¢ue of County AudOnr
I/ We certify un ihe per
Indiana and owner of fhe a
1' Sig e (ame(s hAI name)
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` �Jdmd tlfess af appicant
eulhor¢ed pasm
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:�aa �a�a„�s u��d � m n� i. is u�e ap�csm u,
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dty, stale, ard LP aode)
yes� whffi caurrt�'?
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Tadng Distr
COUNTYAUDROR
Page rnmiber
IX BqNNO1B OMTIBlf
❑ Yes ❑ No
I81he prapetly in QueSLm:
❑ Real Property I❑ Moble Hmie QC 61.1-7)
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Dra�ti�cr NO..a,!/ � —
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20 20 20 _ 20 � 20 _
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c«n,y o� �im. mr. r��1
a
that Ne above and toregoing infoRnafio� is we and mrreU and that Ihe appficants was / were a resident oi
ProP�Y on March 1, 20 �
' Dale (mmN, tlay, yea�
rfPltdrrey w by IC fi1.1-12-.07
sheeG aty, sfate, antl ZIP mde)
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