HomeMy WebLinkAboutMortgage_Slinker��n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
= FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R11 /6-09) Gib50n
' � Resaibetl by Depanment ot Lod Govemmerh Firunce
INSTRUCTIONS:
To be �led in person or by mail.
Filim� Dates: 7) Real Pioperry: Must be completed and dafed in the calendar year for which the deduction is sought.
Must be �led with the County Auditor or County Recorder o/ the counry where Ihe property is located
on or be%re January 5 0/ (he immediafely succeeding calendar year.
2J Mobife / Manulacfured Homes no( assessed as Real Property Must file with the County AudROr o/ the
counry where the property is located dunrg the hveNe (12) rtronths be(ore March 31 0/ each year the
deducUon is sought.
See reverse side !or �rtional insLUUions and qualifications. G I I
Appliwnt (owrrei a convaa buyer - see resrrrc:tibns on reverse side)
luann Slinker
Francisco
Key numDer / legal desrinp6on
012-00028-00 PT SE 18 2 9 1.2127 AC
rti� i. artem yrar I r.urcn i. aurem ynar
0,158
tl no, whai is his I her ezacc share o1 interest?
Ii nartre on recwd is difiereni Man Viat ot app6wnt, irMicate bebw:
Name of mortgagee w crnvaa selier
Chase Home Finance
AEdress o/ martgagee or conVad seAer (numOer aM sf2ef, dry, state, :
P.O. Box 9001871, Louisville, KY 40290.1871
Name ol assi9nee w other owner ar hdder ol mortgage
and sbeet dry, state, aM LP cade)
Does appGrani awn property in any �
counry in Indiana?
❑ Yes
appmvetl in the artwunt of:
so_ 1 3zo
iture W CounN AuCit
11 yes.
No
zo
Center � 2009
U Co uditor
4
Coun y ecorder
7%a. =. ��i�.✓?
Record number
� 88.219.33 �
tt owned wi�h saneone other than spouse, indicate with whom
Pege
�raWe owner?
Yes ❑ No
Is Ne pmperty in question: MnuaOyASSessed
Q Real Property ❑ Annua�y Fssessed
\
Dra���cr NO..•3�9 ;:.....
3
Card NO . .:................
...
��5,3 I Cv .`p
Counry
is deduaion been requesteE on property
renl Year? r-� .. r-� .
zo
Date (monN, Day, yea�
zo
I I We certity under Ne penalry of perjury thai the above and foregoing infortnation is true and correG and that the appticant is a resident of Indiana and
owner / conVact buyer of the aforementioned property on date applicatlon is filed.
and
6048 E State Road 64, Frencisco, IN 47649
«
Address oi author¢etl pnr'..on (number aiM sbee4 uty, state.
Date (marth, tlay, yea�
August'14, 2009