HomeMy WebLinkAboutMortgage_Cederholm�" STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
-' ' FOR DEDUCTION FROM ASSESSED VALUATION Coun Township Year
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� PresaibeE by Departmen: �f Local Govemment Finance `' 1�� � �
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INSTRUCTIONS: �UL 1F�e'�r�@�
To be filed in person or by mail with the County Auditor of the county whe2 the property is located.
Filing Dates: 1) Real Pioperty: Dunng the 12 months befo2 May 11 0/ the year the deduction is to 6e effective. � �� n
2) Mobile Homes assessed under IC 6-1.1-7: Befween January 15 and March 31 of the year the�deduction is to be eNective.
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See reverse side lor additional instructions and quali�caGons. J G�ggp,y COUti1 v AUD:TOR �
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Taxing Distrid
Assessed value of real property as of
March 1, current year
no, what is his / her exact share
If name on record is different Ihan that of
of mortgagee or contrad seller
Key
on reverse
/ legal descriplion I Record number
a� �- 5 9� S
Page number
Mortgage / Contred indebtedness unpaid as of Is lhe applicant the sole legal or equitable
March 1, curcent year ownef? �rs ❑ No
below:
If owned with someone other than spouse, indicate with whom.
Address of mortgagee or conVad seller (number and street, city, state,
of assignee or other owner or holder of mortgage
of assignee (number and street, city, state, ZIP code)
Is the property in questian:
yd'Real Property ❑ Mobile Home pC 61.1-�
Drawer NO..�.l<4!�......
Does applicanl own property in any other If yes, what counry? What Card N�
county in Indiana?
\ � Oad � w,,. ,,,, O er, - ` �'r COUNTY AUDITOR � �
Deduction approved in the amount of:
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20� zo.�•i zo�
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County Auditor
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���87�a�. od
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Date
stetl on
=s ❑ No
We certify under the penalty of peryury that the above and foregoing infortnation is true and corred and that the applicants was / were
resident of Indiana and owner of ihe aforementioned property on March 1, 20
name)
Person authorized by duly exewted Power ot Attomey
or by IC 6-1.1-12-.07
ofauthorized person