HomeMy WebLinkAboutMortgage_King (3)'°n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
a FOR DEDUCTION FROM ASSESSED VALUATION
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�1STRUCTIONS:
To 6e filed in rson or b mail wdh fhe Coun Audiror or Coun Recorder o! the coun where the ro F� �� �� ��
Pe Y 4' ry �Y P PertYislocated. �9nt�7(ti�tnr
F7"mg Dates: 1) Real Pmperty Musf file during the }rear for which the deduction is sought. �T
2) Mo6Be / Manufactured Homes rrof assessed as Real Property: Must fi(e during the fvmlve (12J months
befom Ma�ch 31 of each yenr the deduclion is sought C�i. �Ca�my,Recorder
See reverse side fur additional instructnons and qualfiratans. �
MoGCanLfOwnerorconNaCbuYer-ue mreversesidel
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poperty a N
e�tad share ot intere
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Mp�page / Contraci U
Mafth 1, wrtent yeer
m remM is 6Rerenl ihan Nat ol appfirant, udirate helovr
Nartre of nwrtgagee w contract seller
AdEress of mortgagce a
Name
stete. aM
�9a9e / / •
Addmss of as99nee (numDer eM sveeG tlry, sfale, artl LP catle) .
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��SUN GOUNTY AUDITOR
numbrr Pa umb�—
i/ ��
as d Is the eppOrant Ne sde
legal ar epudade amM
❑ Yes ❑ No
wmeorre other Man spouse, ifMicate with whom
W�al Tarin9 Districl7
2�
ProPenY in Vuestian: MnuaM Assessed
ealP(oPe�Y ❑?!?i!�a��YAsse�ed
Has Nis tletluUbn Eeen
far current yeaR
�_
Date (monfi, day, Yee�
on P�openY
❑ No
p_
/ we ce under Ue penalty of perjury that the above foregoing infortnalirn is W e and corteG arW Nat the applirant is a resident of Indiara arW
vmer I co tract buyer of ihe aforementlo�r etpfope on date application is filed.
ia:ure (o /s fNl nama�— Date (moNh. daY. Y��i
Power of AunneY a M IC 67.1-12-0.7
person (number arM strae; tlry,