HomeMy WebLinkAboutMortgage_Kahle"'* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun To�
_ ; FOR DEDUCTION FROM ASSESSED VALUATION
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�' ,�,. Preso�tea ty Deperorern d Laal covemmeM Fuurce
File
wsrnucnoNS:
To be filed in person or 6y mail with the CountyAUditw or Counry Recorder o/ fhe oounry where Ihe property is locafed. F� fl�
F�fig Dates: i) Real Pmperty Must file dunng the yearlor which the deduction is sought S P�
2) Mobile / Manulactured Homes rro! assessed as Real Property Must file dunng the nveHe (72/ months
before March 31 of each year Ne deducfion is soughf.
See reverse side for adddqnal insVUClions and quali�cations. `(g�.,
AppGmnt(ownerorcontract -seeresbirtAnsmraYerseside) �� N �'.OUI
wSvssm v�e of rnal pmpercy as or
Ma(U 7, a+rest yPar
a rh
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rc�wrie m �emd is airterent u�an m
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�9a9e / Contrac[ intlebte0nrss
MamJ� 1. G�f��dT��/` ... _
Name of rtqrt9z9ee or mntract seller _
�
Address ot morcgagee w wntract se0er (num6er ard slree4 crty, state,
Name of assignee w other owner or holder of mortgage
PdCress of assignee (number end sfreet �Y. stefe, and LP cada)
brant own property m any �
InEena?
❑ Yes
Deiluction approved in the amount of:
Year
�.DUOryAUditor
County Remrder
GIBSO -• � � — -
' O� n Recard number Pa9e nwnber
d
: ot zPP��� I kgal w eQuitade ameR
❑ Yes ❑ No
w'reorre ather tl�an spouse, iMicate wilh whom
Is the property in QueSCOn: MnuaOy As5e55e0
❑ Real RoPEKY ❑ !!^^!?�Y � . . _
If ye
No D,�1„���-.ro..abb�:.
c�,�a �to. .. `! 39�.
5 .� ...
x
O�Y
❑ No
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SignaWre of Cour.ryAWitor Caunry Date (rtpnN, day, yea�
I/ We certify under ihe penalry of perjury that the above and foregoing in(ortnalion is We and cortect arW that the applinnt is a resident of Indiana and
owner / mntract buyer of the aforemeationed pmperty on date applicatlon is filed.
(owneh (utl name) Data (monfh. deY• Yea�
street.
Pers�n autlro �mitd Dy Euly executeC Power of Attomey or by IC G7.1-t 2-0.7
Address of auMOr'vEd person (numberarM street, cily, sfafe, aM ZIP code)