HomeMy WebLinkAboutMortgage_Crothers (2) -� STATEMENT
DEDUCTION IO OF MORTGAGE S CONTRACT VALUATION INDEBTEDNESS County T n jg� Year
FOR DEDUCTION FROM ASSESSED VALUATION 11�{ g��7
r" ?f State Form 437 (R13!70.15)
",,, Prescribed by Department of Local Government Finance r
INSTRUCTIONS: SE1 - aril,
To be filed in person or by marl. Form tied with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the deduction is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property' , • 51 i• -. -.rditor
located on or before January 5 of the immediately succeeding calendar year. '' A !. it
2) Mobile/Manufactured Homes not assessed as Real Property.Must file with the County Auditor of g y CO aY tie
TOR
ref
where the property is boated during the twelve(12)months before March 31 of each year the deduction is sought
See reverse side for additional instructions and qualifications.
Appfxant(owners... ...buyer- on reverse side
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r1� . 4 r. . f. I. _J1 . -
Taxing District Key number/ desaipton Rend number Page number
Les_!_ ,. ._ ._ • . - I. -D l-(b( - anti . a l3-Da J I '1 (9 88 _.
aivalue i.- properly as.. Mortgage I Contract indebtedness unpaid as of . Mortgage I Conrad indebtedness unpaid as of Is the apprare me sow
d date,:.. , ,year dnavva..md date, appfication arrant year date of appcafion legal or equitable owner?
D S Orin Wyes ❑ No
If m,what is his/her exact share of interest? t If awned with someone other than spouse,indicate with whom
If name on record is different than that of app6 ant,indicate below Is the property In question:Annually Assessed
Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
of mortgagee or mnaact seller
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Address of mortgagee or contract seller(number and sheet cry,state,and ZIP rode)
Name of a s s i g n e e or overowners holder of mange! .
KO(...;.i\f' CEO*�[`5 •
Address of assignee(member and street,cdy,state,a
S c._r. ■r-r.— 40 `
Does applicant own property in any If yes,what m (� f' G I J/ 1 I I been requested If yes,state ammud of deduction
in Indiana? ❑Yes �i I r'I Ves ❑No
A person is not entitled to this deduction unless ^� (�j�� �/ Wrest indebtedness that is recorded in the county '
recorders office(rnduding any lame egtcty line t(,O n _ 1 ]( 7C that is the basis for the deduction. . .
Deduction approved in the amount oh l V� U U
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20 20 20 20 20 20 20
Signature of CountyAuddar County Date(month,day,year) •
I I • e 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
r • er I contract buyer of the aforementioned property on date application is filed.
(owners name) /� t n Date(rrwrRh.day,year)
AQ . I\iall,lh tint of (number iry rte ' Ill lR L lino
rsco authorized by duly executed of Atl or by IC b1. -72-0.7 Date(month,day,year)
Address of authored person (number and street lllo?y state,and ZIP code)
The penalties for perjury can include imprisonment up to two and a half years and a fine not to exceed$10,!X10.