HomeMy WebLinkAboutMortgage_Lecocq"'* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
__ FOR DEDUCTION FROM ASSESSED VALUATION
St3te Fortn 63709 (R71 / 609)
,' u�. PrewiOetl Cy �ePa�rR of Laal Govemmetrt Finente
File Mark
INSTRUCTIONS:
� Ned
To be filed in person w by mail with the CountyAUditor or Counry Recorder o/ the county where the property is 1�
Fi/ing Dates: 7J Real Property: Must file dunrg the yrear /o� which Ihe deduction is mught. �
2) Mobde / Manufedured Homes rrot assessed as Real Property: Must h7e dunrrg the twe�ve (12J mon s �
before MarcA 37 0! eacA year the ded�ction is swght. R��
See reverse side lor eddrinonel ins�ucttons ar� gua�i�ications^ M •�
I ADP��� (ownercr wnvarf b�er' �i e °) �% ^ . . .
�ed rahm dmal pmperty at of
7, anvri year
what !s his / hw axaft share ol intem_st?
tt rerre m rem�tl b Nlferen� Wn tAal ot aOW��t'mGicate Debw
i2�3
nartga9ce a cantraa
w dher ovmet or hoNer of rtartgage
AdEfass of atsignee (numOe� eM street ray, stete. erM Z/P toda)
DOCS 9��f2IlI OAT plOpfffli 1118f1Y OI�1Gl
oouiLLy m Indiana? r-� ..
• I y � � � :
C
ss unpaid az d I MoRgage / Contraa irideMedness unpaid as of L+ Ne epp�rant ihe mle
�/� Cate of appliration kgal w equrtade awnM
Q v(/ ❑ Yes ❑ No
rc wmea wim sommne oMer man spouse. inaimte wftn whan
Is Ne ProPert1' in Vuestion: Mnu80y ASU55etl
❑ Reai P�operry ❑ ���Y �
f'�25 �16 dEd111t1011 �BG(1 RQUP5IP� OIl pICQPll`J
fm a�rtent yeaY? ❑ Yes ❑ No