HomeMy WebLinkAboutMortgage_Oneal (5) - STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
:,` `�� FOR DEDUCTION FROM ASSESSED VALUATION County Township j Year
) state F�U•r 43709(R14/i 23) I Gibson ; -
Prescr bed by Department of coca'Go.=rnn-tent Finance I ----- U�<O N 1 c�
INSTRUCTIONS To be filed in person or by mail. File Mark
Firing Ua fe Form r-;_is[be corn p!etcd and dated in the ca'endarc.,. -d....h -_.- _ -__
year for vs":nich the d=ducfrnn is sought �F r...- .�_ v.
Must be filed or postmarkedwith the County Auditor or County Recorder of the county where the propertyilk': County Auditor_ is _
located on or before January 5 c`the caender year in t:hie';the properly taxes are first due end payable. L..J County P,=corder
See reverse side fo-add,`,ona' and que!ifications —..._
-.ate _ r%s to rcbohs
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ehc.n, -o-hera �F, - T.jn }_ ...,- tn.,nD ,pan ee-p ,-y -a } II'i v. .,re 'co property fc �f/t ' ina :ca-ja;: I Ye /o i i c•�rn.yoa2 ; [-,No-A person is not entitled to th,s de.duet•on unless the person has a be ante-on the person's mortgage or contra et indebtedness treat is re orded in the county
recorder's office(mciud-ng any home equity line of erod,t that is recorded in the county recorder's office)that is the basis for the deduct on
COUNTY AUDITOR ___ "----
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I ,Vie cart y under the venally of perjury t toe above and to-ageing informs'.•_n is true a cor.ect sodtnat the app'can is ice of Ind ana and 1
0-.nor/coot-act buyer of the aforementioned property on date app!cation is fled
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The pc-at es fe-r perjury ,
can include irnprsorn:ent up to t::o arc ci h nett yeas and e fine not to exceed S/0.COO — —