HomeMy WebLinkAboutMortgage_Gorman,1�.
Porm i Pe.ised 19n1 .
Prtacn6ed bv oFe atev Boa�d of Tax Cammisxianers
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CERTIFICATE OF MORTGAGE OR CONTRACT INDEBTEDNE55 �
TO BE FILED IN PERSON OR BY MAIL IN UUPLICATE EACH YEAR BY THE OWNER WITH THE COUNTY AUDITOR
' QN WHICH THE PROPERTY IS LOCATED) BETR'EEN MARCN 1 AND MAY 10, INCWSIVE
�nJ� (611-12-1 THROUGH 6-I.1-12-8)
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� V •••QUALIFICATIONS ON BACK"'
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STATE OF INDIANA COUNTY, ss:
�, �We) un, e- � rv... .
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certify that I, (We) was/wereiegal resident{s) of [he State of Indiana and owner(s) of real property on March 1, 19 —1_ and that this
s[atement is made for the purpose of obtaining a deduction from that real property leeated in Taxing District (City, Town, Township)
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Legal Description/or Key Number
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� Name on property tax records if ditferent fmm above?
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,7., Are you the sole legal or equitable owner of the real estate? Yes No
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�� If no, what is your exact share of interest in it?
OAssessed value of real estate as of March 1, current year
� _ Amount of Mortgage or Contract Indebtedness unpaid as of b7amh.1, current year S OSW`"
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n7oR�age or Contract rernrded
�� lName and address o( mortgagee or contract seller
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Described to wiC
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County Recorder's Office, Record No. � Page �"�
W Do you know if there is any assignee or bona fide owner or holder of the mor[gage or contract? Yes No If yes,
Qwhat is [he name and residence? � h�' ' y',� � �� �— V�
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I above described real property own real property in any other County in the State of Indiana?
If yes, what County and Taxing District? �+ ��+ ��
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Does the owner of the
Yes No
Has this deduction been requested on that property for the curzent year? Yes � No
MA�4 1 0 1989
Amount Allowed
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OARD OF
ACTION
APPROVED [N AMOUIrT OF S
REMARKS �
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DATE
SECREfART
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AUDITOR
�� �ADDRFSS OF AVI'HORIZED PERSO�1 /
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