HomeMy WebLinkAboutMortgage_Kihn �-a . STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County° Township Year
LIFWI FOR DEDUCTION FROM ASSESSED VALUATION pg
Presoibed by 709(� reid of Local Government Fuwee p
INSTRUCTIONS: 1 �.!�d .
To be tiled in person or by mail with the Court Auditor or County Recorder of the county where the m P vmJ�
Pe Y h ic ty properly is located. g,
Filing Dates: 7) Real Property:Must file during the year for which the deduction is sought Cou d'tt a
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 - D. C un ecorder
See reverse side • additional instructions and qualifications.
Applicant(• i Aar., / -I _�. '_ . a
T-.:..DLstri al description Record number Page number
/a ax_.) �' 3ai-/0/- moo . 7i� oa V do is" /73474
/1
._._•value of real property as of Mortgage/Contract indebtedness unpaid as of Mortgage I Contract indebtedness unpaid as of Is the applicant e the sole
year date of application — ^ad legal or y se 0 owner?
a' G/.•, ❑ Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than apnrcn,indicate with whom
If name on record is afferent than that of applicant Indicate below'. ,,Is the property in question:Annually Assessed
9(Real Property ❑Annually o Assessssed6-1.1-7)
Name of mortgagee or contract seller
OLL/aeEN QiX�O
Address of mortgagee or contract seller(nun and steel,city,state,and ZIP code)
Name of assignee or other owner or holder of mortgage
Address of assignee(number and street,city,state,and ZIP code)
Does applicant own property in any other If yes,what county? • What Taring District? Has this deduction been requested on property
county in Indiana? ❑ Yes El No for current year?
❑ yes ❑ No
COUNT
Deduction approved m the amount of: ^2....I -— -_ __
20 20 zo 20_ Drawer )\'O..`� / , p
Signalize of County Astor // / / r)
Card NO. l y
I l We certify the penalty o perjury that the above and foregoing it •••• ••••1•••• 1 of Indiana and
owner/ d of r"' - -ntioned property on date appiicatic
Sig j ovine e / I an)
ent of
` 7.S i number and street r state, ZIP// � 7' � 417 9'
Person authorized by daily executed Power of Attorney or byy IIC 6-1.1-12-0.7 Date(month,day,year)
Address of autfrazed person (number and street,city,state,and ZIP code) .