HomeMy WebLinkAboutMortgage_Walker (6).t "'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
- suie Fmn aa�oe (RS r zo�> -
S,.w � Prasrnbetl by DePartment of Local Govemmeril Finarwe
Fle Mark
iNSrnucnoNS: MAY 0 4 2009
To be filed in person or by mad with the CourrtyAuditor ot fhe couMy where the properly is located.
Fding Dates: i) Real Property: Dunng the 12 months before June 11 d the year the deduc8on is to be alfecUve.
2) Mobile Hames essassed under IC 67.1-7: Befween January 15 end March 2 0l the year Me deduction isto�e efl �
See reverse side (a eddifional ins6uctions eM qualificatirons. ���F�
see
/�-r � I c��-�a ��-
�,e ot reai vweer � w n�a�m ,. ane� vea. n+«�ay�
is his / ha exact
If rame m recwA is diRcent ihan that of applicanl, i�mte below:
Name M rtortpagee or cmltad seller
Adtlress of martgagee a canirad saller (number arM 9reet oty. s
Name of assignea or aher wvner w hdda W mortgage
Atldress of assi9nee (mrnber and sGee1. dty• sfate. ar�d Z!F
Does applicarri own property in arry ather ( If r
coumr � ��aiar�aa
❑ Yes ❑ No
Deduction appmved in lhe arnamt ot
0
Sigreture af Counry Autlilnr
20
� i -� a. 7�� -�
/ ContracllMeOtedness unD� as aF Alarch t.
f:T •'rl
u,e app5rant uia sde �aga� «equitade wn,er
❑ Yes ❑ No
I( owned wiih someone Wier tlw� spouse.
09-.�� r�.
�-9-�Z� � P.p.�.�
u s ��-aa-o
��t8,aco.d'�
20_ � 20_ � [u_
. '�i��Jl{}'�
in questim:
:rty ❑ Mdzle Horte pG 61.
Has Uus dedudion been
for curtent yeaR
20
uestetl on pfoperty
❑ Yes ❑ No
Date (rtmlh, daY• Y��)
20
I I We cerfify under ihe penaity of perjury that Me above and foregoing information is We and mrted and thal tlie appticants was / were a resident of
Indiana and ow�er of the aforementioned property on March 1, 20
����i.elnWnnhRdl�mm�l / . � 0���'��.�Y•Y��
state, an0 LP mde)
of A[torney w by IC 61.1
of aulhor¢ed person (numberarM s4ee1.