HomeMy WebLinkAboutMortgage_Hawk^'�a STATEMENT OF MORTGAGE OR CONTRACT IND TEDNESS Coun Township Year �
_ � FOR DEDUCTION FROM ASSESSED VALUATION� ��
' srace ro„n as�os �„ i c o9>
S- i P�esa�yyd by �epartment at Local Govemrtrent Fuance
File Mark
1NSTRUCT70NS: pEC
To be filed in person or by maii wiN Ne CountyAUditor or Counry Recortler o( the county where the prope�ya,�ted. Farm med wiN:
Fifing Dates: 7J Real Pmperty: Must fi!e during the year /or which the deductlon is soughL C.'�. '�A,TY� ounty Auditnr
2) Mo6de /Manu(actured Homes rwt aaessed as Real Property Mus! file dunng thennre � Vmonths
6efore March 31 of eacA year the deduclion is sought.
❑ Caunty Recorder
Seereverses'p�fraddifionalinstruc�nsar�dqualifications. 'G�BSONCOUNTYqUDITOR
�,,.��
If no, what is his / her enr2
If name on temr0 a ddfnaa
`�`�`�=�%- % .300
Marrh 1 e/ Contrari iMehtetlr
o��/ `�
teresi?
M aOP��l "u�tlip[e Gelow:
ryam¢p(rtuutgageeorcontraaselkr ^/
\ �
Address of rnortgagee or mntraa x0er (number and sbaet,
Name of assignee or othr! ovmer w hddu ot mortgage
Address o( assignee (numDer aM aveef, dry, sW
Dces epplicant ovm yoperty in any oNer
counryin�nd'ona? ❑ Yes ❑ Nc
zo _ � zo _ � zo
��o�"���„�,` I(0,���-�--�.�,
I I We certify under the penalry o rjury that the
owner I contract buyer ot the aforemerrtoned pm
�Ig�reeire(owne/slu0name) ` . / .
,«a�a cr awr ���e
authar¢ed pe�swi (num
Sid.E.
..
o.vned
�� / Record nu�be P e num
o �.a
la9e I Contract 4Mebtedness unPaid as d Is Ne aPPGranl the sole
of app�tion legal a equitaWe amell
❑ Yes ❑ No
omeone aUws ihan spouse. trWica�e with vmom
Is ihe pmperry in Question: Mnua�y Pssessed
� Real Pfopetty � Amluaily A55C..sed . . .
a�.�a.....
Dra�ver NO........
�
Card \O. ... �a ...........
— zo— �—
Eeen requested m O�P�Y
❑ Yes ❑ No
20_ zo
CounN Date (rrrordli. daY. Y��
arM foregoing intortnalion is W e end cortea and Nat the applirant is a resident ot Indiana and
on date ap�cation is fiied.
Date (montli. daY• Ye�
erane s'ree4 �1s state, arm z/a ow
F�e��_�Cu� O
of Atmrt�ey w by IC 61.742-0.7
antl svee4 �: sbte. aM ZIP code)
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