HomeMy WebLinkAboutMortgage_Conway'°'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Co Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
smce r«m a3�oe tR„ i s-os>
� Presaibed M�rd otLo�l Go.emmem fifmnce
� File Mark
INSTRUCTIONS:
To be filed in person w 6y mail wiN the CountyAuCitor or Counry Recorder of the counry where the pioperty is located. p
Fdirg Dates: 7J Real Proparty: Must file dwrzg the year for which Ne deduction is soughL � County Auditor
2) Mo6de /Manufactumd Homes rat asseued as Real Pmperty: Mus! file during the nveHe (72) monfhs
before March 31 of each yaar the deduction is so�ghL R��
See reverse side fir additional instructions and qualificafions. G IBSON COUNTY AUDI
I,MP��t(ow,re�ormntracbuyar-se�p`iestricDpnsmreveisesde) . ^n (� _ _
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1. anen[ yPar
�wmbu / legal desQiGtio
-��
age/Canm
Ma 1 arle�rt�
what is his I her e�ct share of intemst?
tl rwne m remN a dfiemnt lhan Nat ot app�caM. Ntlipte Debw:
W rt�ortgagee or mntrart
rtqrt)agce u cmtratl sr�er (nun6ei end s0ee4 �Y. s�te,
w othel owner w holder at rtvtgaga
acaress m ass�ee (M,� �a so-eet an: smr�, ene z�r mea�
Dces aPplimn[ wm pmperty in any oNer
muniy u� InOiana? � i"1 .._ _
�
Sigrenae d Camb Audi'�r
20
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20
20
- 1-6 �' . 1�3`f
1 as W Morigaga / ConSaaG inOebteAnass unpaid as d Is Ne epprinnt Ue sde
tlata of aDP���� �ega� w equRable wmef.+
es ❑ No
If owned wiN wrtK:ane dher tlun spouse. iMkate wiTh whom
WAat Ta�dng DistriC
�_
ProDertY in QueSlion: MMIaIIY A55e55e0
�I P'Opelty � NfmuallyA55essed
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�° N wAy 13zL-x,,� s
STE�NH,�� S
c�0/O - /��
ri��
D2fe (/rMfh. QaY. �ea�
20 _
1/ We certify urWer the penalry of perjury that Ne above antl foregoing information is We and cortecl and that Ne applinnt is a residerrt of Irdiana and
owner / contracl huyer of Ne„a(ommentioned property on date appl&abon is filed.
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state,
u
Oy IC 61.142-0.7
Pddress of autha"ved person (number arW sLee4 u�: s+ate.