County Form 137b - Statement Of Costs Paid On Tax Sale Property printable pdf download

County Form 137b - Statement Of Costs Paid On Tax Sale Property

Prescribed by State Board of Accounts

County Form 137B (Revised 2001)

STATEMENT OF COSTS PAID ON TAX SALE PROPERTY

PARCEL / KEY NUMBER: _______________________________________________

TAX SALE ID NUMBER:

_______________________________________________

Description of Property:

_______________________________________________

_____________________________________________________________________

I, _________________________________, who purchased the following described

tract or item of real property at a tax sale held by ______________________ County on

______________________, _____, have incurred and paid the following costs in

compliance with the provisions of IC 6-1.1-25-4.5:

Attorney’s fees and costs of giving notice under

IC 6-1.1-25-4.5

$____________

Costs of Title Search or of examining and updating the abstract of title for the

Real Property

$____________

Subsequent taxes paid

$____________

Total Costs Incurred and Paid

$____________

I hereby certify that the aforementioned costs are true and correct to the best of my

knowledge and belief.

___________________________________

____________

Purchaser Signature

Date

THE COSTS LISTED ABOVE SHALL BE PAID BY THE PERSON REDEEMING THE

PROPERTY IN ACCORDANCE WITH IC 6-1.1-25-2.

County Form 137b - Statement Of Costs Paid On Tax Sale Property