HomeMy WebLinkAboutMortgage_Eckert"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
„, FOR DEDUCTION FROM ASSESSED VALUATION
. . ' Stata Fwm 93709 (R77 / 6-09)
�' ,,,, � PrewibeE by Departmenl of Lod Goremment Frence
File Mark
�VSTRUCTfONS: N
�o be filed in person w by mail with the CouniyAuditw w Counry Recortie� 07 Ne county where fhe pmperty is located. �
Filirg Dates: 1) Real Property: Musf file dunig fhe year (or which fhe deduction is sought. C M unty Auditor
2) Mo6de / Manufactured Horrms rat assessed as Real Property Must file durirg the twelve (12J mon�hs ❑
6etore March 31 of each year the deduction is sought Recorder
Seereversesideloraddilionalinstrvaionsandqualifications. GIBSONC UN Y
App62n
Key mim / legal desai tion Retoid rwmber Page number
-zo - o� - �{o - o00 - o8d -003 3G
rdh�e d rral PW�Y az W MeMortuaue / Contraa trWMtearress unpaiA az of Mortgage / ConTart iMeOteMesS unpaitl as ot k tM ePP�t Ne sde
Ma�di 1, qmmt year rrh 1, airtent year date o( applit�alan legal a eQUitade wmeR
�n n�r? ❑ Y� ❑ Na
I( ro. whal k his / her exact
�i 112f11C M I2COfd 5 dI�i2R1
Name W mortgagee ar contract s
AddRSS of nwrtgagee w mntrad seller
Name ol assi�nee or oNer owner or IwW�
Ailaress ot assi9nee (number aM atreet
Does applitaM ovm propelly in any dher
muray in Indiana? ❑ Ye5
20 _ 20 _
sg�n� ar c�,ry ab�� '
I I We certify under Ne penalry of
ovmer I contract buyer of Ne ator
Sig(awre (4wne/x M1Anartre)
hMICd(Q bQ�OVI
Uy,state,aM
rtqrtgage
slate. and ZIP tode)
If yes, what munry?
No
What Taz
AUDROR
Is tl�e ProDenY in auestion: Mnuely Assrs,ed
� Real ProPeM � !�"^!!�Y ��
� ��,r j Arw� �
f1M..,,, t'L(t �
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II �J /-_./`.'
20 20 20 _ 20 20 _
3 Counry Da�e (rtmth. eaY. Y��)
y Mat Ne above and foregoing informalion is We and mrrect arM that Ne applicant is a resident of Indiana aM
ioned roperry on date appficatlon is filed.
/ Date (nmfi, day, Ysa�
iM�� et, dry, sfate, aM ZIP mtle)
o(AUOmey w by IC 61.1-12-0.7 �
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