HomeMy WebLinkAboutMortgage_Ralston�"°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
f s�a F«m aa�o9 �RS i zon •�
'> �� R�o3ea by oevanrtreni at Lo�l cavemmeM Fir�ar�e `�
INSiRUCTIONS: File Mark
To be filed in person orby mad w'rfh the CourRyAUditor o/the courrty whera the propeAy is bcated. NQV 1� 2 t���
Fding Dates: 7) Real Proper(y.' During fhe f 2 rtronfhs be/ore June 11 W the year the dediiction is [o be ellective.
2) Mobtie Hames assessed'mder IC 6-7. 7-7: Behveen January 15 and March 2 07 fhe year fhe deducfion is to be eflective�
See reverse side for eddtional ins6vctiau a� q,ralificatbns. j�%7� y�✓�,�
DisUicl
value of real
�BB IB O!1 �lSB SdB)
Key number / legal desaipUOr
rty as of rt�h 1. ameN Y� �Ba£
wrra�t
share a imerest?
If reme on record is diRmeM Nan Ihal of applicanf,
of morlgagee w
� �iri a • Q�� / v� u
;/ Coniraq udeWedness unpaid az af Marrh 1,
someme
Address of mortgagea or mnUad seller (num6er anC strae4 dN. state. mM �!J coda)
Name of assignee a dher ow�ner or Mder of mortgr^^ � 1' _.
Address of asvgnee (rwrtnbelarM sLeet, dty, stafe. DC`[I�Ver \TO Q p.i , s � 7v
.. i . .. .
Does applicanl own poperty in any dher - .'�r � . -�
countyinlndiana7 C'dj'(] 1\Q . .....................
❑Yes ❑No
Deduction appmved in Ihe amaunt of:
20 �7J2 20 20
�
SignaW re of Counry Audilnr
20 _ I 20
Caunry
is ma �m,� u� sda i�i «��ae �n
❑Yes ❑ No
spouse. indicate vrilh whom.
Is Ihe propeM1y in question:
❑ R�I Propertv O Mabite Home (IC 61.
: Uds tleduction been requesled on poperty
a,R�n yean
❑ Yes ❑ No
20
20 _
I/ We cerCfy under the penalry of perjury that the above and foregoing infortnabon is true and correct and tliat the appGcanLS was ! were a residenl of
�ndiana and owner of the a ementioned pmperty on March 1, 20
�na ( e/s fi/1 name) � Date (rrmN. daY. Y��
��`;�.. . n. �o
end sbeel, d}: sfete. antl LP mAe)
by duy ezewted Pwrer of Pttor�my ar by IC 57.7-72-.07 Date (monN. day, yea�
:ed pelson (num6er aM streek U}; stafe, and LP mCe)