HomeMy WebLinkAboutMortgage_Newton (5)�
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Prturibed by �Fe Stav Roa�d of Tnx Cammissianrre r � l/
CERTIFICATE OF MORTGAGE OR CONTRACT INDEBTEDNESS
TO BE FILED IN PERSON OR BY MAIL Ih DUPLICATE EACH YEAR BY THE OWNER WITH THE COUNTY AUDITOR
(IN WHICH THE PROPERTY IS [ACATED) BE7'WEEN MARCN 1 AND MAY �10, INCLUSIVE
(61.1-12-1 THROUGH 6-1.1-12-8) J
'••QUALIFICATIO�S ON BACK'° / /O� 11
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STATE OF INDIANA ��6�r` COUNTY, ss:
I, (We) '
IFUU. �aNS1 '
certify that I, (We) was/were legal resident(s) of the State of Indiana and owner(s) of real property on March 1, 19� ��and that this
statement is made for the purpose of obtaining a deduction from that real property located in Taxing District (City, Town, Township)
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Legal Description/or Key Number
Described to wit
� Name on property tax records if different from above?
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z Are you the sole legal or equitable owner of the real estate? Yes No Y� - p 1�
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Q�
� If no, what is your exact share o( interest in it? � — .
� Assessed value of real estate as of D4areh 1, wnent year 7-3 D"�`�
� . Amount of Mortgage or Contract Indebtedness unpaid as of March 1, current year S �-� O O
�% � 361.!
Mortga�e or Contract recorded ��� County Recordei s Otfice, Record No. —� Page
� Name and address of mortgagee or contract seller �� � '"` �
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WDo you know if there is any assignee or bona fide owner or holder of the mortgage or rnntract? Yes No If yes,
Q what is the name an i'�rt
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z Does [he oyp�o�ae���d4e described real property own real property in any other County in the Stau of Indiana?
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(�} Yes _ No , t County and Taxing District? �
Q'i �� . � � A�p1TOR �� � �.3
Q Has this deduction een requested on that property for the cuRent year? Yes
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l/] Amount Allowed
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F CO NTY
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ACTION
[� APPROVF.D IIv' AMOUNT OF S
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2 REDIARKS
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SECREfARS
IEW
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'! � 'See False Statement Penalty Below �/
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