HomeMy WebLinkAboutMortgage_Pauley (2)Fmm u Reaisel I951
Pmeaibed bY �e State Bm�d of Taa Commicsiauas
�R Fx EL00
�
CERTIFICATE OF MORTGAGE OR CONTRACT INDEBTEDNESS
TO BE FILr.D IN�PERSON OR $Y MAIL IN DUPLICATE EACH YEAR BY THE OWNER WITH THE COUNTY AUDITOR
�(IlV WHICH TNE PROPERTY IS LOCATED) BETWEEN MARCH 1 AND MAY 10, INCLUSIV///E���
� (6-1.142-1 THROUGH 6-11-12-8) � I %� y
, �� - °•QUALIF7CA/TiNS ON BACK•° O/O'/ - D �% � 9—�
!
STATE OF INDIANA
I, (We) �
�:ertify that I, (We) was/were legal resident(s) of the State of Indiana and owner(s) of
statement is made for the purpose of obtaining a deduction Gom that real property.�.
�_
C,egal Description/or Key Number �� � �O �� � �� �
� Name on property tas records if different from above?
z
�., -- -
A
.%.� Are you tlte <c:. ��:. .. .:. ^quitable owner of the mal estate? Yes No
�
� If no, what is yon; exact share of interest in it?
COUNTY, ss: � D jj
f o
>perty on Diarch 1, 19 11� and that this
in Taxing District (City, Town, Township)
� Assessed value o( real estace as of March 1, current yeu ���% � �/ G O
/
�� Amount o�Mortgage or Contract Indebtedness unpaid as of March 1, current year 5 ��J O U. O O
���lortgage or Contract recorded ���1� County Recordei s Office, Record No. _
W
� Name and address of mortgagee or contract seller
W
� Do you know if there is any assignee or bona fide owne or holder of the mortgage or contra . Yes
Q�what is the name and residence? l
�
a
�
Described to wit
��pi�i'�-r�
Page —�LLL°Z
No If yes,
z Does the owner ot the above described real property� 1 property in any other County in the State of Indiana?
�y
� �D3
(,�j Yes � No If pes, what County and Tasing District?
d Has this deduction been requested on that property for the current year? Yes � No ��t�"- � w
(/) Amount Allowed �
~ 0 b
F � � � �� a�-b � �a
z COUNTY BOARD O REVIEW �� 'See Fa1se Statement Penatty Below
,,,,,, ACTION
[.Wy APPROVED [N AM� � -� % �°`-""--�-��e •s evu. �rx
3_ REMARKS _ Q`� � no�l ' O� �� ORIZED BY OULY E%ECVfE'.
��- . ,- _ �.,.. V d �
_ � � �' ,��:..� ��.�
�FULL R�IDE\CE ADDRESSJOF ON:CEF
z
6(� �2.ao�
dJll6�� �
o . '�} __,:�: . � �
Q'. _AUD17dR
.. S i3Y OF BOAAD IADDRFSS OF AUTHORIZEO PERSON)
�