HomeMy WebLinkAboutMortgage_Whitten (5)(�
Farm n lie�isd 14i1
Rrsmbed by Ne Su'e Baeed of Tea Commissianers
D l 9- 03 .2 0,6
P�IinR Fee SI.00
�—.
CERTIFICATE OF MORTGAGE OR CONTRACT INDEBTEDNESS
TO BE FILED IN PERSO\ OR BY MAIL IN DUPLICATE EACH YEAR BY THE OWNER WITH THE COUNTY AUDITOR
QN WHICH THE PROPERTY IS LOCATED) BETWEEN MARCH 1 AND MAY 10, INCLUSIVE
(6-1'.1-12Q THROUGH B-1.1-12-8)
•^QUALIFICATIO\S ON BACK"' � . /O p�.
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STATE O�,iNDIANA
I, (We)
�
COUNTY, ss:
certify that I, (We) was/were legal resident(s) of the State of Indiana and owner(s) of real property on March 1, 19 � SZ and that this
statement is made for the py�es�of obt�ning a deduction from that real propedy located in Taxing District (City, Town, Township)
Legal Description/or Key Number
� \ame on property taac records if different &om above?
z
..
z, Are you the sole legal or equitable owner of the real estate? Yes No
H
�Q
� If no, what is your exact share of interest in it? /�
� Assessed value of real estate as of March 1, cunent year �J
� . Amount of Mortgage or Contract Indebtedness unpaid as oF March 1
1 �
� 7
'D7ortga�e or,Contract recorded
� , Name and address o( mortgagee or contract seller
W '
�
Described to wit:
T �_�
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cunent year $ i�-/� �' O O
3
W Do you know if there is any assignee or bona fide owner or holder of the mortgage or rnntract? Yes
Qwhat is the name and residence?
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No If yes,
_ .. ,y-,,,� '_ /. _
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zDoes the owner of the above described real property own real property in an r oun �he tate of Indiana?
i.y � �� - �.�--^ �
Yes No If yes, what Counri and Ta<ing District?.
� Iv1AR p �t 1988
Q Has this deduction been requested on that property for the current year? Yes No �
� a
C/� Amount Allowed .
-, ,� ., � �a, /1 1?� . O . _ _
N
x �7��% b/��� � �.%
F COUNTY BOARD OF REVIEW
,,z„ ACTION ��
�[.W.i APPROVED IY AMOUNT OF 3�
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3 ,REMARKS � aD
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SF.CRETARY OF BOARO
6-a�-b>
'See False Statement Penalty Below
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