HomeMy WebLinkAboutMortgage_Brown (13)"�n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count
- FOR DEDUCTION FROM ASSESSED VALUATION
• Stale Form 43709 (R71 / 6-09)
�` P PresaibeO Oy Oepartmenl af Loral Govemment Firunce ' .
�
INSTRUCTIONS: � " - - � - � - -
To 6e filed in person w by mail with tAe CounryAuditw or Counry Recorder o7 Ne county where the property is located.
Filing Dates: 1 J Real Pmperty: Must file during the year fo� which !he deduction is sought.
2} Mob�7e /Manufactured Homes not assessed as Real Property: Must file dunng the fweNe (72) months
- 6efore March 31 0/ eacA.year the deducfion is soughG .
See reverse side for addilional insfrucfions and quali�cafions. �
AoWpm ( mntrad 6N'e� - see re�trk�(iwu m reverse siie) .� .. �f•
25 d
wt's his / her e*art she�e of
m remtl is Siftgmt Uan N
�artre of neulgagee or cmtaU se0er
Pdtlrrss of morc9a9ee or contrari se�
Name of ass�ee w oMU wmer w Y
�% ^
Mortpage / Contraa 4dehtetlness unpaid as of
Ma�d� 1, wr�pt . O
\f/' { O
tlowm
it, trWimte Oeb�r. �'
3
and sbcel cRy, s+ate. aM ZIP code)
� ���Ror
��
unpaid as M
ves u No
spouse, i�#wate wBh ximm
k iM P��P¢nY in Vuestion: MnuaDYlvs.^.essed
❑ Real P.ocem Q � ws�
Atldress of assignee (number and 51ree4 �y, sfate, and Z/P cotle)
Ooes applirant oem ptopelty in any oNer • If yes. what count/1 Wliat Tarifg DatriU? Has Nis deGUtlian Deen requested on pioperty
munry in Indiana? -�� . (or curtent yeY? ❑ No
� ❑ Yes ❑ -Yes