HomeMy WebLinkAboutMortgage_McFetridge^�n STATEMENT OF MORTGAGE OR CONTRACT INDEB7EDNESS Coun Tovmship Year
_ POR DEDUCTION FROM ASSESSED VALUATION �
• State Fortn 43709 (R11 / 6-09) O
S / presaibetl Ey DePa„�M o( Lo�al Govemrt�erd Fuance
„" .. .v\.� File Mark
INSTRUCTIONS: F� p� �:
To 6e �led in person or 6y maii with the CountyAUditor or Counry RecoNer of the county where the pmperty is located.
Fding Dates: i) Real Pmperry: Must file dumig the year for which the deduction is soughf.� Counry Audimr
2) Mobile /Manulactured Homes rwt assessed as Real Property: Must file dunng the tweNe (12) months
befole Mamh 37 0( each year ihe deduction is soughL ❑ Counry Recorder
See reverse side for adUitiona/ inshucGOns arM qualifirateons.
t(owner w buyer- sa m rererse sde) � p
�
T" D' trict • �hu � kgal desaiption Remrd numEer Page numbg
_ id _ c� - ooS a Y a 7
As�sed vahc U� WopeY.Y at M rtga 9e / Contracc "udebtedness unP� as W Mongage / Contra�Y ifMehtedness unpaid es d is Ihe eP�t Me sole
Marth 1. aarent Swr M�h 1, airtenl yrar datB ot aOP��� kgal w eWiiable oxnrYi
If no, what is his / her eu�2 share ol
1f'wne on iemd 5 ddfuent Nan tt
d aPP�t'o�Eicate Eebw
rame of rtnrtgagee or contract se0er ��
Address of morl9agce or antracl sWer (numbe� ar
Name of asv�ee or other ovmer w hdder of rtartc
PAdress of assignee (number aM sneet dry, state,
poes apD���� �^ D�PenY �n any oNer
counry in Indiarw?
amount
20 _
No
, ffite, aM ZIP code)
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Y1��1
If rnmed with :
�/�._��� � ■
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Is Me property in auesGOn: Mm�aM Assessed
❑ Rea� P`opertv ❑ M^iiaM Pssess�
��� Dra�rer �\'p... ��
UNTYAUDROR C'al'� `\rO � /� � ' ..
_ ' _ �8,10�3� �'1�7�.....
20 20 -
Sigwture oi CounN Aueimr � `� � Caunry Date (morR�. 0�: leah
e . � . n��-�r�-i
I/ We cert'rfy under the penalty W perj that the a and foregoing infortnaGOn is We and cortect and that Ne applinnt is a resident of Indiana and
er I mntracl buyer of the aforementioned property on date application is filed.
� re�� ' 1�. 1/ • V Y 1 ri /l-1� � \ Date (month. daY Y�a�
ulltof¢td by dWy ex[
of author'ved Gerson
�
ciry, sfate, anC LP code)
�Y. Y��)