HomeMy WebLinkAboutMortgage_Greene (2)"�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
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�' ,,,, � Presrnbed by Department of Lad Govemment France
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INSTRUCTIONS:
To be fiied in person w by mail with the CountyAuditor orCounry Reco+der ot the county wf�ere the pmperty is located.e EP
Filirg Dates: 1) Real Pmperty: Must file dunrg Ne }rear lor which the deduction is sought J
2) Mo6Be / Manufactured Homes rrot assessed as Real Property: Must fife dunng the hvelve (12) months
6efae March 31 of eadi year the deduction is sought. C��
See reverse side /or additional instn�ctions and qualifications.
Aooluant(ownerortoritrarl6uver-see resersesdel . f;16
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Martli 7, a+m1Y yPar
tt ro, what's Ius! her exaG share of interest?
If fwrie m �emrC is dMerent Nan Nat of appl
� les� aesa;ation aemm nwnnu
_n _ o/ - yo 5`- o0 0. o s�- � a- � �o
Ny���ge/ Contratt "uWebtetlness unP� as U Mwtgage I ConYxt" ebteOness unpaid as o( '.
Namh 1. arrent year date o( eGP�� ��. %�( �
u oM,rea w;m someone oa� sw�se. c�d'xa+e wim wno
Name ot mwtga9ee or contraU se0er i ' , �
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AEdress of mortgagee w mntract seAer (numbriend sneel, ray, state, aM LP code)
Name W as4�ee or other ommer or hdeer of mortgage
Mdress of/��M � S Ml: sb7e, a� LP co0e) '
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Does applicant ovm property in any oNer If yes, what count�/1
munry in Indiana? �
❑ Yes
COUNTY
Deduction approved'v� ihe amouni of:
20 � 20 � 20 _ � 20
Whal Tewtg D5�
4UDROR
I 20
County Auditor
�CGUnry Recorder
Ls p�e property in Question: Mnw
[�Real RoPeAY Q Amlual
Mob�e
P�Y33.3
r� u No
Dra��•er i\'0...°,:�,� a
.....
c��-� �.to. .. y 33 3� -
...................
3�, �yg � _
20 _ � 20 _
»Nre W Coimry AW ¢or Counry Date (rnonM. daY. Y��
C•
I/ We certify under the pen of perjury that above and toregoing infortnalion is we and correct arW that the appiirant is a resident of Indiana arW
owner I contract buyer of the afinemerrtion mperty on date applicatlon is filed.
,��•. (owners 7�lFnankSl Date (rtmtli. daY, leaA
Per.on
arM LP oode)
peison (number and sbeel, dry, StaM, an0 LP cotle)
d�l%Y��
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