HomeMy WebLinkAboutMortgage_Eckert (3)t�� �
Form 5 Reviead 1990 F�ivg F: f1110
P�eeaibed by Ne State Bomd of Taz Cammimioom ���
CERTIFICATE"OF MORTGAGE OR CONTRA T INDEBTEDNESS �
TO BE FILED IN PERSON OR BY MAIL IN DUPLICATE EACH YEAR BY THE OWNER WPfH THE COUNTY AUDITOR
(IN WHICH THE PROPERTY IS LOCATED) BEIWEEN MARCH I AND MAY 10, INCLUSNE
� (8-11-12-1 THROUGH 8-1.142-8)
•"QUALIFICATIONS ON BACI{•'• �_^
(l�
STATE OF INDIANA J��-�-- COUNTY, gg: /� r
� I. (We) U7�sz��c 'F�c.7-�cuti-� . r - �.
�FUil NAME)
certify that I, (We) was/were legal residenUs) of the State of Indiana and ownede) of real property on Merch 1, 19 � and that thie
statement is made for the purpose ot obtaining a deduction from that real property located in Taxing District (City, Town, Townehip)
Described to wit:
Lega] Description/or Key Number ��" N��ll� NL��`� 1�-"�-�� •?7��L .
� Name on property tarz records if different from above?
z.
�
A
,Z Are you the sole legal or equitable owner of the real estate? Yea —;.�_, No
►-�
�
� If no, what is your exad shaze af interest in
� �
� Assessed value of real estate as of Ma h,
� Amount of Dlortgage or Contract Indebtedness unpaid as of March 1, current year $ \��C�'w
� Mortgage recorded � 7�'�� County Recorder'a Office, Record No. � Page �� �-'
� Name and address of mortgagee or contract seller
WDo you know if there is any assignee or bona fide owner or holder of the mortgage or mntract? Yes
� what is the name and residence?
a
�
�
No _J� If yes,
Does [he ow•ner of the aboce described real property own rnal property Ln any other County in the Sta[e of lnA�ana?
Yes No �— It yes, what County and Taxing District?
Has this deduction been requested on that property for the cunent year? Yea
Amount Allowed
COUNTY BOARD C
ACTION
APPROVED IN AMOUNT OF �
� �� � a
REMARKS � ! ' �
8 "
��. <.- -__
ti
O . � �
A AUDITOR
SECRETARY OF BOA
� DATE
D/
No _�— �
/, � Da' J�"'O ��' �.( �V °S V ��
d � � � �
��, ���, O'See False Statement Penalty Belo �
o�P,
��
f / /
� /
� .� �.� � �'-�'�.�-
(OWNER'S FUll..YAME1
(PERSON AUTFiORIZEO BY DULY EXECUTED PoWER ATTORNEY)
X9�'s � _ �C� � ���-� �-
�� �FIILL RFSIOENCE OF OWNER — MUST BE GIVEN)
�7�,_ �— ��
(AOURFSS OF AUTHORIZED
_ .
9
,/