HomeMy WebLinkAboutMortgage_Williams (2)"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
Slata Fam 43709 (R71 / 609)
�' ,,,, PiesaiDetl by Department af Local Govemment Fnance
�VSTRUCTIONS:
To be filed "m person w by mad wi[h the CountyAuditor or Counry Rernrder of the county where the pmperty is bcated.
FiNrg Dates: 1) Real Pmperty: Must file during the year for which the deducGon is sought.
2J Mo6i/e / Manulactured Homes not assessed as Real Property: Must file dunng the hvelve (72) months
6efo�e March 31 of each year the deduction is sought.
See /everse �ide /oredditional instructaons and qualfications. G�B,
Gr...fi.an� /m �vrv�nlrer4 Frwi_ em rnNr'v�lilA..v� m.6�nu n:.In\ • •
� 1/l. l L� LlFll\�
ai raM1re d 2al pfopttq as d
t, cvrera year
rc m, what's h's! her e�aa share ot interest?
II name on reoord is Eilferent Nan that of apPlicant, inCitate belovr
r�ame m �ony��
sram.
rtqrtgage
(numberendstreet �'/1y, 518te, enOLPWCe)
Dces app6rant own property in any oNer I If yes. what CounC/.�
munry in Ind'ana? ❑ Yes
❑ No
Dr�uctin� appmve0 In tlfe amouM
20 � 20
Sigrauve d Crnmb AuOitor
�
�
Recorder
as d Is Ne epd�� Ne sole
legal or equibNe owne(!
❑ Yes ❑ No
If ownad wi� someo�re oNer Vwn spouse. @Micate with xfrom
NRat Taring
20 I 20
Is tM prope�ty in Questit�n: MrwaAy Asse55e0
� Real PtOPeKY ❑ %���Y `�
MohAe Hane (IC Crt.
deductim Eeen reVUested m P�opertY
nt yraY.+ � Yes ❑ No
20 _ 20
DOIe (�. day Y��
I/ We certfy urWer the penalry ot perjury that the ahove antl foregoing intortnalion is we and correct and that Ne applirant is a resident ot Indiana arW
oxmer I contraq buyer of the afotemenlioned property on date appfintion is filed.
sLee4 �1: statg arM
Pcson aWnraed Ey E�dy ezecu:etl Power
person (numberantl sbeet, ciry, stale, aM LP code)
0
LSi+.�
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