HomeMy WebLinkAboutMortgage_Dibiccaro"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
' sa�e r-o� a3�os �„ i s-0s�
S I PrgaiEed by DeC��N of Ln�l Go+emrtiem Fuiance �
� File Mark
INSTRUCTIONS:
Ne Y�
To be filed in person w by mail with the County Auditor or Counry Recorder o/ the oounty where the property is
Fifing Dales: i) Real Property: Must �te dunng the year /or which Ihe deduction is sought. un Au r
2) Mobde / Manufectured Homes rwt assessed as Real Propelly: Must fi7e dunrg the M1veNe (12) months
6e/ore March 31 o/each year Ne deducton is swghG � �
See reverse side for addilional inshuctbns and qualrficafions. `�V ��
MP�nt�(ywrrer or m)tSaC ¢uyel - see reaLi�wa m r�rsetitle) —
Ta�d isfih KeYnimberlle9aldesaiC� ,/n GIB '�"' Pagerwmbu
_ Q'� OlIC). 0?7"6'�� S COUN7. �' C
Asesscd vahie U re� P�Y as W Mwtpa 6e / Contrau 4debtednrss unpaid as d MMgage / Cantra� ude6teCness �mG� a d Is Ne aP t tlx sde
Ma�th 1. wma Year Mard� t. arreM Y� date o( aDP�b^ / �°� �7�^�aa �
f �(p�� ❑ Yes ❑ No
tt ro, what is his / her e�d share o1 intrlestl tt owned wiN someane dher ihan spouse. Irdimte Wfi whom
tt narne m remfE 6 Nfternn[ than Mal of appUCan4 cd'xzte Eelmr. Is Ne yoperty in QuesSOn: MnuaDyASSessed
Reel Properfl 0 �+^��'1 �
rtartgagee «mntrxt
contrad seDer
Name of assignee w dhu owner or haldv d
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nearess orassignee (m,mbersro:
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Dces eppl&ant ovm p'operty in any
muntv in �nd'ana7
a�nOUN of
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Counry
Has N's daductian baen re9uested m properry
Frn cuireN ycaR �" r't .
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I I We certify urWer Ne penatty of perjury that the above arW foregoing infwmation is we and corteu arW that Me appivant is a resident of Intliana aM
owner I contract buyer of the aforementloned property on date application is filed.
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