HomeMy WebLinkAboutMortgage_Stonecrest Income & Opportunity Fund^' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship r
__ .� FOR DEDUCTION FROM ASSESSED VALUATION
� State Fwm 93709IR77 / 6O9)
�' y,� P�rs�ibeC by DeparlmeM of Laal Govemment Frence
File Mark
��srRUCnoNS:
b be filed in person or by mail wiM the Co�nryAuditw or Counry Recorder o/ the munry wheie the pmperry is bcated. F�
Filirg Dates: i) Real Property Must file during the year for which fhe deduction is sought. �, � � �
2) Mo6Ae / Manulactured Homes rwt assessed as Real Property: Must file danng the hvelve (72) months
befola March 31 0l each year the Ceduction is sought. ❑ Counry r
See reverse side 7or addifional insLUUions and qualifications.
App6rartl(owrier buye�-seeresficdopS}x'reversesitla)
�� Iq. V/�Id� 6 �115 ��12f EYdf15�13f2 O( VI(2R52�
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Mpr(��ge / Contraa irdehtedrress unpaid as
Mamh 7. artent yeer
if W
If rwne on remrtl is tlifterent Ihan Nat W app&ant, InEinte Geb�r.
Na +rtqrtgagee ar oonaari seoer
Address of rtart9a9� w contran selle (nwnbrs aM svaeG �Y, sra
Name ol assignee a oNer owner or hdtler oi mortgage
Addfcs5 ot a�ry�ee (numDr,l and slree4 d1y. s6te. entl ZIP cotle)
Does aPpli�nt wm poperty in any oNer If yes, xfial
munry in Intliana? r-i ._ ri ..
What
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�oo �'t `-1 �1 � `�
5 RecoN rwmber Page numDer
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mCebteCness unpaiO az of Is the a0d^�t Me sde
legal «epuibde ownel.+
❑ Yes ❑ No
Is
Re� �rocenv ❑
MnuallyM°SP,55etl
Has Na dedue]im been requested m pmpelty
for tunent yeaR � �
� COUNTYAUDROR
Detluaion approved in tlre amount ot
20 20 _ 20 20 20 _ 20 20 _
Signature ot CoumY Auditw Caunry . Date (rtronN. daY. )aa�
1/ We cerlify under the penatty of perjury Nat Ne above arW foregoing infortnalim is true and mrtect arW ihat the applipnt is a resident of Irdiana antl
owner / contract buyer of the aforementioned property on date appiicalion is filed.
Si9 (owreh hAl ) Date (npnfi. daY. !'aa�)
�rn � �.ur� S-a o -n
FWI �esitlrnt ol appfrcarit (num6er �n0 sbeet. tlry, sbte. arM LP e)
X 5. "�ie�-�(i �-'f"Y�-2�-r �C��O �rl �-t�1L �O
Pe�son aulhw¢ed M O�df' executetl Power W AtWmeY rn M IC 61.1-12�.7 Date (mon�, daY, Y�� "'
MEress d aWm�'ved person (numDer aM strcet. ci(y. sble, and LP code) .
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