HomeMy WebLinkAboutMortgage_Hudson (2)^'�q STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_,. � FOR DEDUCTION FROM ASSESSED VALUA��
. s�ace rbrm aa�os �n i s-os> ��
S � presrnbed by �ePartment of local Gov¢mment Finance
�µ� File Mark
TRUC710NS:
To be filed in person w 6y mail with the CounlyAuditor or County RecoNer of the county' �wfre�h�pI�v � ��y��_ Fortn med with:
Fdtig Dates: 1J Real Properly Must fJe dunng the year for which the deduction is sought. LV 1 L- ��unty Au�tor
2) Mo6r7e / Manufactured Hortres rtot assessed as Real Property Must fil�dc+�i the He (}2J months
6efore Ma2h 37 0/ each year the deduction is soughG ❑ County Recorder
See reverse side for addtional insVUCtbns and quaGlcations.
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ctlicate Debw:
Name ot ea « seAer
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Addres of nwrtga9ee o contrad seller (num6ererM sn
Name ol assignea or ather owner or hdder af mortgaga
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gnea �num�arm suee; ary, s�e[e, alm ur ooae)
avm property in any oNer If yns, wha[ county7
a7 ❑ Yes � No
DeOUCUan apprwed In ihe amount af:
20 _ I 20 _ I 20 _ I 20
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rc ownm
Recoid num0er Page number
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debtedness unCaid as of La ihe eCPGrani Na m
v� u No
I5 C�e P�PQNY in 9uesEm: Mnua�Y AssK.eE
❑ Rea� �oaenr ❑ /vmualN 0.�sed
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° �UrUM,� ,�n
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20_ � 20_
1/ We certify under �he pena�ty ot perjury that the above and foregoing intortnation is true and cortect arid that the applirant is a resident of IMiana and
owner I contract buyer of the aforementioned property on date appfication is filed.
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