HomeMy WebLinkAboutMortgage_Turner'°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year %
,r__„ s FOR DEDUCTION FROM ASSESSED VAWATION� �� 1�
� Sfate Fwm 93709 (R71 / 6O9) /
�' ,w. � Presaibetl by DeP��N o1 Loml Govemment Finance '
File Mark �
INSTRUCTIONS: FEB I O ZQI� Fa,�,ruae � �
To 6e filed in person or 6y mail with !he CounryAutlitor or Counry RecoNer of Ne counry where the pioperty �s ocated.
F�irg Dates: i) Real Pmperry: Must file dun�g Ne year for which fhe deduUion is sought. C � County Auditw
2i Mo6de /Manufactured Homes not assessed as Real Property Must hie d�nrg t7ie twe �months
befo2 Ma2h 37 o/each yea� the deduction is sought. v r\ ❑ Counry Recorder
rmen.� .. v
Seereversesid radditionalinstruclionsantlqual�cafions. ������� �vurvl T AUUITOR
ror G r-see 2verseufe)
Tah Key rnmiber / �¢aa� / pyon/ /" / O� l'(�,' `."`y0 /O � Recad� O Page numGrl
C� %
A�sed vdue d real poperty az ot Mwtgag tract inde6leCness unpaid as af Mwtgage I Contra<Y i�ebteEness unpaid as d Is Me appG�ant Me sde
Marh t. cwent year Ma�th 1, �� O O O date af aPP��� Iegal or eQUitaNe ownel.+
❑ Yes ❑ No
It ia. what a Ns / Mr era�Y share ot intemst? If awne0 wiM snmea�e otMr ihan spousa. iM'xate wifh whan
If name m remN is difierent Ihan �hat o( appliran4 �ditate Ceb�r Is Ne property in question: MnuaOy Ass�sed
❑ Rea� Pfoperty ❑ nrnua�tywssessed
Abble Horne IC 61.b7)
��o,��a���, S 3
Address of mortgaqee w wntract seller (number and sbae4 ciry. slate, antl ZlP coCe)
Name of asvgnee w oNer owner ar hdder of mort9age
ACOress of aaignce (num6er antl street, rd}: slale, and Z/P tode)
Does appli�nt wm property in any oNer If yes, what munry? What Tarirg Dislria7 Has Oiis tleCUtlwn Ceen requested m pmperty
munry in IMiana? ❑ Yes ❑ No tar wnent yeaR � Yes ❑ No
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