HomeMy WebLinkAboutMortgage_Bishop� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ ; FOR DEDUCTION FROM ASSESSED VALUATION
Stata Fortn C3709 (R71 / 6-W)
�,�,. PrrsoiEad by DepartmeM of LoW Govemmer�t Finante �
1�
wsrnucnoNS:
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To be filad in person w by mail wifA the CounryAUditor w Counry Recorder of the wunty wAere fhe poperty is bcated. M p, �
FiNrg Da[es: 7J Real Property: Must file durnq Ifre year /or which tha detlucLOn is sought ��unty Auditor
2) MobAe / ManulaUUred Fiomes not assessed as Real Property: Must file dunrg the hveNe (12) months II''''II
before Mamli 37 0/ eacA ysar the deducavn is mught � � unty Recorder
See reverse side lor additional ins�J'ans ecd aual�ications. _ .._.__.,
ASSPS4ed vdlue d teal O�PenY ��
Mmd� 1. a+reJU year
It m. whal fs Ius I htt erad sl�are Ot intemst?
fwne m remftl e Qdfer�t Nan that N aOP��t'mdinte Eebw.
rtprtgagee «mntrad ae�er (nvnEei end 4aee4 �ty
signee u oCro awner w Mdn d mor[9a9e
AEtlfasS ot assignee (numbor ertl ateeL tily, slete, eM ZIP code)
OOES B�itlM Ovm P�O�Y ��Y �� I�f Yes, whdl
munry m Indiaria?
❑ Yes. .rl-w.—._--_
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ca��a �,o1 �. .....................
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A / I (.Cii.�.��n J /�K,�-/.
I I We certify urdelNe penal
o.mer I contract buyer of the
�`anue (owners lull name)
�e��
AOtlRss of euCOr'¢eE persa�
thai
�I V I O`-^� ,l T' / VW nemm numqvo ra9e�3 l�a
(
tedness unpaid as N Mortgage / Con�ct iMebteCness �mpaid as d Is Ne appGvnt tha sde
O/-�(r1 date af aPP�� legal ar epuitahle oxnM
�–'i� ❑ Yes ❑ No
If wmed with sameane dher Ihan sGa+�. IMKate wtth Mam
couNrrnuortoR
Is the propelcy in Question: MnueAy As5es5eA
❑ Real afoa�M 0 ��M�
tm artent yeaR
20 � 20 _
:tW m propr�ty
Yes ❑ No
�
\ V 11 I�� %\��fi��1Ll� I o� ��rn. e��nl 2� �O
�J'
e and foregdng infomiation is true and corteU arid Nat the applirant is a resident of IrMiana and
on date applicatbn is fited.
�a� �no.m,. aar, reen
dry, sfdte, and LP oode)
/ 2 / �G
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rer arM strue; tily, sta(e. an0 Z!P mde)
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