HomeMy WebLinkAboutMortgage_Schafer (8) �" FOR EDUCTION FROM ASSESSED CONTRACT ATION INDEBTEDNESS County Township Year
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PrrsaFn y Dp p(aRrtmmeent al)a d Govemmem Firence FILF,
File Mark
INSTRUCTIONS:
Form Ned :
To be filed in person or by mad with the County Auditor or County Recorder of the counOr yalheyxpperty N located.
Filing Dates: 1) Real Property Must file during the year for which the deduction is hF77.. Lei �/ LL UU X144 i County Auditor
2)Mobile/Manufactured Homes not assessed as Real Property Must file during the twelve(12)months .L�Ji
before March 31 of each year the deductions sought County Recorder
See reverse side 'Additional instructions and qualifies s l'I'>I711.
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..vaWe of real property- 'of Mortgage/Con u/3007)Nebtedness unpaid as of Mortgage/Contract'.. .btedness unpaid as of Is the appr�t the sole
March 1.current year March 1.ane date of apPfiretion legal a equitable owner?
'4' ❑ Yes ❑ No
n no,what is his I her exact sham of interest? / owned with someone other than spouse,indicate with whom
If name on record's different than that of applicant,indicate below: Is the property in question:Annually Assessed
❑Real Property ❑Annually Assessed
• ace Mobile Home(IC 61.1-7)
Name of mortgagee or contract leper dAtilaz(121 Address of mortgagee a contract seder(number and street.city,state,and Name of assignee or other owner or holder of mortgage •
N.0 r 0 61
l runty? • What Taxing District? Has this deduction been requested on property
[ ravcI: �� for current yeah ❑ Yes ❑ No
903 COUNTY AUDITOR
I Card NO. 41 15$891 tip
20 1 20 tr.. 20 20 20 20 20
Signature of un 'tor 1 (.... County Date(north,day,year)
I/We certify under the penalty of perjury that 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- • property on date application is filed.•
■G M`•f,, ` t4�, / / Date(mortar,day,year)
peg t c../�• ®� and
� �j /y��/{j�/J 1 /�//)ray,state P
®auvized Gil'executed Power p for D ,. 2e 7 / ��i �'T
Date(month,day,Year)
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Address of authorized person (number and street dry,state,and ZIP code)
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