HomeMy WebLinkAboutMortgage_Sloan (2).� °°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
�., . FOR DEDUCTION FROM ASSESSED VALUATION
s�a F� as�os �Ra i zo»
S � Presrnbed by DeparUnenl of Local Govemment Finance
ur
Coun Township Year
wsrnucnoNS: ��
To be filed in person or by mad with the Cou�dyAud'rtor o/ the courtty where the pmpeAy is bcated.
Fdrng Dates: 1) Real Property: Dunng the 12 monMs be7ore June 17 W the year the deduction is to be efle� �
2J Mobile Hpmes assessed'mder fC 67.1-7: Between January 75 and March 2 01 the year the deduction is to be elfeclive.
See reverse side foradditional ins6uctions and qualificafions. FEB 1$ Z��9 �
Key
AssessEYl ralue af re� pope�ty as af Mafch 1, arrenl Y�� I�rt8a9e /(
artentyear
recortl is dAferanl than Ihat of appican4 ind�cate belmr.
Name of rtpngagea or carMad sdler
Address M mo�igagce w conUad seller (numbe` and s4ee4 mY. state, erd
Nartre ot ass9nea w dher wvner a holder of rtartgaga
nddress or assy�ee (mm�ber a,d s6eet dry, 5ate. and z�r code)
Does applicark own PrapanY in erry olha I I7 yes.
county m Indiare?
❑Yes ❑No
oed� ll�-:1\\'Cl- \���5-/V...(O",`hf
�
Y��a 0 OId90�1 w�rv �� b�• �I
I
unpai0 as M March 7, Is ihe applimnl lha sda Iegal u
if wmetl wM mmeone dhar Ihan spouse.
VJhal Taring DisUicl7
AUDROR
20 _ � 20
�•'!r`7
❑ Yes � No
Is Ihe property in questim:
❑ Real Property ❑ Mobile Harie (IC 61.1-7)
Has IFds deduclian been
r« a,nenl yeaR
20
�as�etl on property
❑Yes ❑No
20
J .•.. Counry
........�...
I�
C �l � � \ Dafe (maith. tlay, yea�
��1 �oAO.00 �U•yA�`-
I/ 1.,. /�y unoer tne penalry of perjury that the above and foregoing information is true and corteU and that the appiicants �ras / were a resident of
Indiana and owner oi the afwementioned property on March 1, 20
Date (mon(h, OaY. Y��
�
Pason auUar¢ed bv A�N a:aMed Pmrer of Almiey a by IC fs7.i-12.07
person (num6er arM stree( tity, state. aiM ZIP code)