HomeMy WebLinkAboutMortgage_Page^^ STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
, FOR DEDUCTION FROM ASSESSED VALUATION
Sfate Fortn 43709 (R71 /6-09)
�' uu P25mbed Ey DepaRmertl W Lntal GovemmeM Fuarce
Coun Township Year
F
wsrRUCnoNS:
To be filed in person or 6y mail wiN the CounryAuditw or Counry Recorder of Ne counry where the pioperty is focated.
Fi7ing Dates: 1J Real Property: Must fde dunrg the year for which the deduclion is sought
2) Mo6i7e /Manufactu2d Homes not essessed as Real Property Must fiie durirrg the tweNe (12) morrths
belore Maich 31 o/each yearthe deduction is souyht.
See reverse side !or add' ' na inshuctbns arM qualifications.
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ss unPaid as W Mortgage / Con� cMeMeCr�s unGaid as of
�1 tlate of appGCation
Name m rtartga9ee a mnuact seuer /
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Is Ne app�'ant tlre sale
k�l or epu�mde o»nerl
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❑ Real PmPeKY ❑ ��Y A��
MoWle Fbme (IC 61.
Has Na detlu0ion Caen re0uesteE m Wope+ty
for artm� Y�n I"I .,_ _ f"1
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