HomeMy WebLinkAboutMortgage_Thompson (12)^'�a STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS cou o vear �
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• FOR DEDUCTION FROM ASSESSED VALUATION
�r—' . .• Sfata Farm 43709 (R17 / 6-09) � , � 1 :
�' ,« � Presmbed M OePartment af LaW Gavemment Finarxe
INSTRUCTIONS: - NOVF���
To be fifed in erson or b mail witlr the Coun Auditor or Coun Reco�der ot the coun where the � ��y�Ey, Fartn Aed wiN:
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Fif'ug Dates: 1) Real Proper(y Must �fe during the year Por which tha deducfion is soughG u ry Audimr
2) Mo6Ae / Manufadured Homes not assessed es Real Properry: Must fite dunng the hveNe (12) months
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See reverse side /nr addiLOnal instructbns and qualilcations. �
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I I We certify undet Ne penalty o( perjury Nat ihe al _.,. �.negoing infortnation is We and cortect and lhat the applipnt i5 a resident of Indiana arM
owner I contrad buyer ot ihe afo`ementloned property on date application is Tiled.
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