HomeMy WebLinkAboutMortgage_Wiper Corp°�� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
,.. _� FOR DEDUCTION FROM ASSESSED VALUATION
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•O i.0 � Presaibed bY DePertment d Local Govemmenl Finance
INSTRUCTIONS:
To be filed in person or by mail wifh the CountyAuditor ol the tounty where the pmperty is located.
Fd'mg Dates: 1 J Real Properfy Dunng the 12 months before Juire 17 W the year the deduction is to be effective.
2) Mo6ile Homes assessed under IC 61.1-7: Behveen January 15 and Maich 2 0! fhe year tfre deduction iy{ ����ti��a
See /everse side Iw addifional insWCtions and qualifications.
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7' pf ''G Key m�mber / legal desaipibn
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AssesuW rdue af real poperty as d MaNi 1. artent year MMgage /(
airrmt year
erzacl
rame on
Address ot rtroM1gagee w mnUaC
Name of asvgnee a olher owner
�tal of appl' �ndimle below:
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'r indeWedrress unpaid as of March 1, Is �he applipnl lhe sde legal a equitade o.meR
❑Yes ❑No
If ovmed wilh wmeone ather ihan spouu. indicate vriih wtwm.
Is �he property in question:
❑ Real Procertv O Mobile Harie (IC 61.
Atldress of assignee (number and sfreet, aty, sfafe, aM ZIP coc,
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Does applicant ovm property in am� oNer If yes, v. ),�
courLLy in InNana? /��
❑Yes ❑ No
Dedur.tion appmved in Ne amwn� of: �ti��
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I/ We certify und�e penalty of
Indiana and own i the afor�e
ihat ihe abov� / /��`�,��
property on A �� L
a
n bcen requested on properry
❑Yes ❑ No
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� was ! were a resident of
nth, day, yea�
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Pason aWhwaed bY duly enewted Pwver oflLL�orneY or by IC 6�:»Z-TI�— Date (month. day. Yea� .
Address of aulMraed persan (number aM sLee; cAy, sfate, arM LP oode)