HomeMy WebLinkAboutMortgage_Ramsey ,tsF-^i-- STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS County j Township
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at £ - I Year
�, FOR DEDUCTION FROM ASSESSED VALUATION
` State Form 43709(R14/1-20) Gibson ' `) .- �f
' Prescribed by Department of Local Government Finance — v C J
INSTRUCTIONS To be fled in person or by mail. File Mark
Form filed t•;i:h•
calendar year for which the deduction is sought
Filing Date' Form r7;us!be completed and dated ir,the �✓ County Auditor
Must be filed or postmarked with the County Auditor or County
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Tex€r_D- -- \ ``- I^K�e;rumba le_-'d=_s^r:pt,o OW 3G—t7�� t R _
G dr m iPa -n,;
A »_�va•ue or real p'c-er, as_ t.'ori_ap_r Conrz�:iodeb:=_dne-s u-pa as p I Mo-tg =_/Centrac:i-.d= redress u^pa".-�.as of Is the z?pI'cart tt:e so'=
assess--:erl dale.current yea- assessment date current yea-
';d` Ir on � lceo'ore tab!e o::no-?
4 No
If ro ‘....hat is h s!he EraaF share of interest? It turned v:its s r-epne o•_ •tiara spans,indca:e v:'in whom ` 1
If name cn record is different than that cf app'rc_ t in_c_te be'o., I Is : -Property in ques`on Ar ri.s9y Assessed
1. Real Property ❑Ann il Assessed
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106 ome(IC 6-1.1-7)
Name o'rortgagez or contra:: s w i
Address of ror:gages m prat act set (r••r . a^-'s:re Sy t . raj ZIP cntiel -- -___._-. __
Name c'ess'gnee c-other o..ner o•h�de'cf me tgagn 1 - MAC 2-4-2022 ---
Address cf assgree(rcm: -- — ----
DrawC'I' NO... has this ded �tB` O�INTY AUDITOR i
•Oees appaant on-pope: •�/ -�/ on beer _ ucs:ed 11` duc
en property for
yes state amo�n;of Ce. Uon
othercoun;y I
in Ind'aca� CD •
[ I eu•rent years _ Yes ❑No
A person is not entitled I Card NO. S [�CJ�/ •s mortgage coral -[indebtedness that is recorded in the county
recorders office(includi ecorder•s office)that is the basis for the deduction.
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Deduct,en approved in the
20 20 20 20 1 20 _ 20 20
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S:gn_..,a of County Auddc• 1 Cc..sty \ I pare r-c day y Y;
— - � � S0r1 , �L. i
I/Vie cert-fy under the penalty of perjury that the above and foregoing information i tru and correct and that the applicant• a resid nt of Indiana and
1� ���``` owner/contract buyer of the aforementioned property on date application is filed. l
S:g .u' (orin_•'s "raree) -- - - Date rr i
_( crt; dal Year)
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Re'scn ant`prize.by duly executed Pc::e'of A::orrey Cr by IC e-1112-0 7 i Oate(rr:cnth.day yeari
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Address of author zed person (nurnbe.r and street.city stets and ZIP ccdc-m