HomeMy WebLinkAboutMortgage_Hawf A .. STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
State abed by Department artm /tat I J
Presoibed by Depamrierd d Lod Government Furore
File Mark
INSTRUCTIONS:
To be filed in person or by mail with the County Auditor or County Recorder of the county where the pro(t 7 fii44g te fl 14 Form coed with:
Filing Dates: 1) Real Property Must file during the year for which the deduction is sought County 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 - /I . ❑ County Recorder
See iil: e side for addition. instructions a d qualificat' ns. 1 a •�(
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Assessed value of real property as of Mortgage/ indebtedness ne''s�s'MD as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
March 1,current year March t, O v date of application I legal or equitable owner?
If ❑ Yes ❑ No
If no,what is his/her exact share of interest? / If owned with someone other than space,indicate with whom
If name on record is different than that of applcant,indicate below: Is the property in question:Annually Assessed
' ❑Real Property ❑Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Address of mortgagee or contract seller(number and et city.ste and LP code)
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,coy,state,and ZIP code)
Does applicant own property in any other If yes,what county? • What Taxing District? Has this deduction been requested on property
county in Indiana? ❑ Yes ❑ No for current year
❑ Yes ❑ No
COUNTY AUDITOR
Drawer NO
4o l:LI
•
. 20 20 20 20
1 Vi
Card NO. County Date(month,day,year)
,
_ auove and foregoing information is true and correct and that the applicant is a resident of Indiana and
_t _...._.,,.nmea Iwyer of the aforementioned property on date application is filed.
nature toi, .hA name) Date(math,day,year)
rd r
sell resident address ryk ppfrant(number a bTy,state,and ZIP code)
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Person author by duly executed Power Atlomey or by IC 6-t.t-12-0.7 I Date(month,day,year)
Address of authorized person (number and street,ray,state,and ZIP code) -