HomeMy WebLinkAboutMortgage_Bledsoe `` FOR DEDUCTION ROM ASSESSED VALUATION INDEBTEDNESS County Township Year
rt State Farm 43709(R11/6-09)
Prescribed by Department of Local Government Finance
File Ma
INSTRUCTIONS:
lb be filed in person or by mail with the County Auditor or County Recorder of the county where the property is located. 54=9"24,'2014
Fling Dates: 1) Real Property Must file during the year for which the deduction is sought 0 County Auditor
2) Mobile/Manufactured Homes not assessed as Real Property Must Me during the twelve(12)months .I✓�/LW-n,
Recud
I
before March 31 of each year the deduction is sought er
See reverse side for additional instructions and qualifications. G I B SO V COUNTY A U n I.Tn p
Apofioant(owner�Fponaac buyer-see restrictions on )
Taxing 0 � r egal desciplcn m, l Record number Page nwnber
,`� alo-IR-1?- 31) 1 - DOO . (0 (,5-C (o ao ( R 1a3.a.
Assessed value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
Mardi 1,Gnat year March 1,current year r� date of application legal or a owner?
4 I0,bOt) ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is 6Rerent than that of applicant,indicate below a property in question:Annually Assessed
eal Property ❑AnnuallyAssessed
T Mobile Home(IC 61.1-7)
Name 'mortgagee or contact seller
5resLof mortgagee or contract seller(number and sew;city,stabs,and ZIP code) __. _
t=
Name of assignee or other owner or holder of mortgage AnAp4 s /5 LEDs°y
Drawer NO...9+..� .-q-� III
Address of assignee(number and steer,dry,stare,and ZIP code) -a
aol � 12- 3.�#�}' S^Jf / 00
Dees applicant own property in any other If yes,what county? a t. ,Q. ....yy,. "�..Y.{!�.r
county in Indiana? ,.},,., r/
❑ yes !__Y-fJo " o
COUNTYAuuIIUR
Deduction approved in the amount of
20 20 20 20 20 20 20 .
Signature of County Auditor County Date(month,day,year)
I 1 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/contract buyer of the aforementioned property on date application is filed.
nature(glA+/eh hot )r Date(month,day,year)
F resident address of apprxant(number and street ctyl state,and ZIP code)
LIn7,3 East Par`C 5rf+dl f/t6ftrnc�L,T/t� �f7(OY8
authored by duty executed Power of Money or by IC 61.1-12-0.7 Date(month,day,year)
Address of authorized person (number and street city,sate.and ZIP code) .