HomeMy WebLinkAboutMortgage_Frederick (2).a °^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
saie F«n, a,�o9 �rxe i z-0n
.�' �. � Pr�bed by Department of Local Govemmenl Firance
�r,srnucr�oNS: MAR �?��Oy
To be Rled in person or by mad wrth the CourrtyAuditor o/ the courrty where fhe pmpeity is located.
Fdmg Dates: 1) Real Properfy: During Ure 12 rtronths before June 11 of Ure year the deduction is to be eRecfive.
2) Mobile Homes assessed fmder IC 6-1.1-7: Behveen January 15 and March 2 0/ Me year the deductim is X�e�r��.
SeereversesidefaadditionalinsWctionsandqualifications. QIBSONCOUNTV a�ri�rrtia
��'f �lllll' ��1.� � d�'� �'�
� ralue of real popaly as d Mardi 1, arrent year
share m inlerest?
P-�.3�F�-fl7•�
/ ConUact indebtedness unpaid as of March 1,
�` (� 0,0p�
If wmed with someone all
If reme m recartl is difiuerd Ihan ihat of applipnt, indicate below:
Name af mortgagee ar cpNacl seJler
Address of mortgagee or wntrad seller (rrumber aM streeG dty. sfafe, and
Name of assignee w dher owner or holder of mMgage
ar�d sUee4 �Y. �ate. and LP crode)
ooes app�cam ow� aropem m e�y ane.
courSy m Indianal
❑ Yes ❑ No
ICil0l13j]PIOVCd YI UIC 2IflWlll O(:
� oQ �
1 I We cerfify ui d�r Ne penalt�
Indiana and owner of tlie afwementimed
�naUue (pwners hdl name) — n �
S6EEL Mj: S�dh
�i%S-Li
itorney or by IC
- � What Ta�dng DisVici7
- - - --'...�.,..�,..R.,o
D�-�„-��-.o. �..%-. `�9 L
..... Zo_
1
C�I'(1 �i� . ..................... i�lt�.�
address
ezeatetl Power
� Address af aulhoraed persm (n�mbei aM streeG
March 1, Ltl
Record
Is Ihe applimnl lhe
❑Yes ❑ No
spouse, irWicate vnln wnom.
Is Ihe praparty in quesGon:
❑ R�1 Properry O MoWe tbrtie QC 61.
Has UJs dedudian been
far arrenl yeaR
20 _
❑ Yes ❑ No
20
id cortect and that tlie applinnts was / we2 a residenl of
Date (mon(h. tlaY. Y��