HomeMy WebLinkAboutMortgage_Mattox^'�v STATEMENT OF MORTGAGE OR CONTRACT��T'�DN� oun Township Year
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• FOR DEDUCTION FROM ASSESSED VALUAT �
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S,,,, > Resmtea Di cevertrtrem ot Loml Gavemmem Fuwxe
�NSrnucnoNS:
FEB g 2�� File Mark
To 6e filed in person w 6y mai7 with the CowtyAuditor or Counry Recorder ot fhe counry re fhg p ���Ey_ Farm med wi
Fitirg Dates: 1) Real Pmperty: Must file durrrg fhe year fir which the deduclion is so�ghG nR Counry Auditor
2) Mob�7e /Manufactured Homes not assrszed as Real Property: Mus! fife �f ���is
6etore MarcA 31 of each year the deduclion is saght. - G�BSON ❑ Counry Recorder
See reverse sidqjor additional instructions arM qualifications.
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MarU 1. aamn� yrar
rc m. �� �s n�s i n� e� snare m��asr
o((o -la-D�o-vo.
n+ony��e i co�aaa �qeccea�eu u
Mard� airtent Ye�4 n _
rc rwre m rt.md is A.7amt Ihan that of aDP�L'oWicate below
mwtgagea or mntract uAer (num6ererd s1rn=S ��1: state.
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_�e amount of.
20_ � 20_
es
owned wi� sameone other �han
�
Iegal N equitable awneYl
❑ Yes ❑ No
Is iM pmperty in question: MnueM Asseacd
� Real PfoPenY ❑ A!?iu�' A�sed
�a,
what munp/1 WhatTa�dfg 0¢tria? Has Inis
far arte
COUNTYAUOROR
20 _ 20 _ 20 _
/ ��Y
I I We certify ufWer ihe penatty ot perjury that the above andYc
owner I contract buyer of Ne atoremerrooned pmperty on date
Signature (omreYS h
rrsident a00r�ss
Penm auNortred
tlry, slate, errtl LP catle)
ezeate0 Power o(AttmmY ar by IC 61.1-12-0.7
person
state,
20 _
Date (rtmth. daY• Y�A
� P��Y
❑ No
20 _
intortnation is W e and cortect arM that the applinnt is a resident ot Indiara aM
ion is filed.
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