HomeMy WebLinkAboutMortgage_Hudson �,-. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Court Township Year
a£-' ' FOR DEDUCTION FROM ASSESSED VALUATION
�t= `-a ,�j State farm 43709(R77 DEDUCTION)
FROM
Prescribed by Department of Local Government Finance
In li\.
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INSTRUCTIONS:
I with:
To be filed in person or by mail with the County Auditor or County Recorder of the county where the property is located. Farm filed
Filing Dates: 1) Real Property:Must tile during the year for which the deduction is sought I N D V t Noy Auditor
2) Mobile/Manufactured Homes not assessed as Real Property:Must file during the twelve(12)months
before March 31 of each year the deduction is sought - ❑ County Recorder
See reverse side for additional instructions and qualifications. / I ) I k4
Abbacy (owner or contract buyer-see on reverse side) \�-G�dll�- -
GIBS ON COUNTY AUDITOR
, � � �.e, Q
�Ta 'ng DLstrist Key number/legal descriPtim Record number Page number
01Lwa-a>� cUo as i � - 3oo - 000. oY 9 -o � u i3 Y(os /
value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contrat indebtednesi unpaid as of Is the applicant the sole
1,end year March 1,current y date of application legal or equitable owner?
CjOOCO I Dyes ❑ No
If no,what is his I her exact share of interest? If owned with someone other than spouse,i Indicate with whom
If name on record is different than that of appfrant,indicate below: Is the property in question:Annually Assessed
❑Real Property ❑Annually Assessed
• , I Mobile Home(IC 61.1-7)
Name of mortgagee or contract seller v w ' //
Address of mortgagee or contract seller(numb r and wee;city,state.and ZIP code), /.^/f I t) �//"��yy ��(( 4
Name of assignee or other owner or holder of mortgage I—I U D SOP) Q c ` k_ / 1
•
Address of assignee(number and street,city,state,and VP code) M (1 ' /
PT sw i - y-r/ �J -I / —
Does applicant own property in any other If yes,what county? - What Taxing Distric
county in Indiana? ❑ yes El No /J - 7 r _
COUNTY AUDITOR _
Deduction approved in the amount at
20 20 20 20 20 , I20 20 _
Signature County Date(month,day,year)
I I We certify under the penalty o�t the above and foregoing information is true and Correct and that the applicant is a resident of Indiana and
owner I contract buyer of the aforementioned property on date application is filed. I
SyriaWre rs hre rerrpp) Date(rnanN,day,year)
X Full `2/ -Q of applicant(mlm rant street city site,/and
(U2C Sa674t 7" —CA/ `T 7/ 37
Person authorized by duty exeased Power of Attorney or by IC 61.1-12-0.7 (� ! Date(month,day,year)
Address of authorized person (number and wee;city,state,and ZIP code) I