HomeMy WebLinkAboutMortgage_Meyer (4).�°"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
.,... . FOR DEDUCTION FROM ASSESSED VALUATION n
' slale Form as�os Rts � 2-0�> q�
�° � Pr�mbed bl' Depahmenl a! Lacal GovemmeN Firence �
wr 'n
/�,�V
�� � ) File Mark
INSTRUCTIONS:
To 6e filed in person or by mail wifh the CountyAuditor o/ the county where the property is located.
Fding Dafes: 1) Real Pmperfy: Dunng the 72 monMs be/me Jwe 11 of the year the deduc6on is to 6e elfective.
2) Mobi/e Hmres asseued imder IC 67.7-7: Behveen January 15 and March 2 0l the year the deduction is to be eflective.
See ieverse side /or addi(iunal instrucGons a� qualifitations.
ApplicaN
H
see igshiii,pns m reverse siee)
popely as of March 1. wrrrt Y� �9a9e
airta0. �[e
is ns � ner e:au share ar uneresn
If reme on
nwrtgagee or conVacl seller � I�
of matgagce « mnbaa seller (numau and �eC aA: sate, and z�a code)
assignee v olher owner w hdtler of mutga9e
Address of assignee (mmibei and sGeel,
Does applicaM own property in arry olha
counry in Inda�w?
❑ Yes ❑ No
Deduction approved in ihe amwn� of:
s�'S��
If yes. what county?
20
unpaid as of March 1. I Is Ihe appficant Ihe sde legal v eiprila6le awne/1
❑ Yes ❑ No
rned wiih somcme dher Ihan spouse. ird'icate with whom.
VJhat Ta�dng
COUNTYAUDROR
_�":�
Caunly
Is Ne praperty in questim:
❑ Real PmpeAy ❑ Mobile Home
�d�x]bn been requested on property
Y��
❑ Yes ❑ No
20 20
� D:
20
cerCfy under the penally of perjury tha[ the above and faegoing information is true and corred and ihat tlie appGrants was I were a resident of
a and owner of ihe afwementimed property on March 1, 2b _
Date (rtronth. daY• Y�A
s6eet, aty, sfale, arM
aNhorized by Aury ezewt�Power ofPl�w�y or by IC 61 1-12-.07 I Daie (mmth. day, yea�
cdy, sfate, aM LP wde)