HomeMy WebLinkAboutMortgage_Stoffel"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ : FOR DEDUCTION FROM ASSESSED VALUATION l�
', • Spte Fam d3709 (R77 / 6-09) _ 11
Presrnbed by Deparnnem of Local Govemmer�t Fuunce
,•�• Ile
INSTRUCTIONS: �� .
To be �led in person w by mail witA the CountyAuditor or Counry Recorder of the county where tAe property is I� �
Fiing Dafes: 1) Real PmpeRy: Must fJe during the year7or which tha deduction is soughL County Auditnr
2) Mo6�7e /ManufaUUred Homes rwt assessed as Real Property Mus! file during Me hveNe (72J monfhs 0 T�73 4�69
6efore Ma2h 37 oJ each year the deduclion is soughG Remder
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DeOuctimapprovedinNeartwuncof: Lt.7�i�er i\rO, Q2(^]�j�
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I/ We certify under the penalry of perjury that Ihe above and foregoing intortnalion is we e�... ____ �� � IrWiana aM
owner! contract buyer of Ne aforementioned property on date application is filed.
Sig !s lu➢fume) Date (month. daY. Y��)
� D - 23-�f
� Full yddent adEress of p�nnt (num0er antl sfrae( ' stafe, a� ZIP code
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PrF..on authoraed Gy duly exewted PowerW Atlomey rn by IC 61.1-12-0.) Date (monN. CaY• Y��)
per:vn �num0er antl stree; dy. stafe. and LP mde)