HomeMy WebLinkAboutMortgage_Dunn.,* °'* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
_? FOR DEDUCTION FROM ASSESSED VALUATION
Slate form 43709 (R8/ 2-07)
�O ..0 � Presaibed by DePaNnen� of Local Govemmmt Finance O � �^
� \1
INS7RUC710NS: � File Mark
To 6e filed in person oi by mad with the CountyAuditor o/ the counfy where the property is located. � U L 3 � 2 �� 8
Fdmg Dates: 7) Real Prope�fy: Dunng lhe 72 months be(ore June 11 07 the }rear tFre deduction is to be effeUive.
2) Mobile Hames assessed under IC 64_ 7-7: Between January 15 and March 2 0/ fhe year the dedttctjq9 i� � alJec6ve.
See reverse side Ja additional insWctions arrd qualifications. ��� �3 (J
Applicanl(o eidmr�tradW�" ���a resL"xYiorts/q� reversesde)
��nnn_. � // I /n/I�Q�/J /iM/J% �
Key number / Ia�al
��-i ,
popaty as of March 1. m�er�l y�r
m
Address of mortgagee u
Nartre
ihan Nat of applicanl, indipte below:
seller
oanf.v w holder at matgage
dicant am property in any oNer
IndianaT �y�,
❑Yes �No
of:
� / -cYlO. ?l�F � -Od �7
CoMrad iMebtetlrress unpaid as ot March 1. Is Ihe
dty, stafe, aM ZIP cnde)
Remrd number
7 9d I ❑ Yes ❑ No
owned with someone olhet Ihan spouse, i�cale vriih whom.
Is �he property in questlon:
❑ Real Property ❑ Mobile Home pC G 7.
dty, slate, and ZfP mde) �^y�� ('� �
_-1, l I�V�-�/V 4 �
Ifyes.whatcounty? Wha� LI��l\F'�I" �i0 ...................
c���d �io. ...31�5n�........
COUNTYAUDI � � {� 31
p� ( 2p I 20 _ I 20 I 20 I 20
d on pioperty
�s ❑ No
20
SignaWre of Counry fwtli�or I Camry I Oate (monlh. daY•Y��l
1/ We certfy under the penalty of pe�ury that the above and foregoing information is We and correct and that Uie appli�anfs was I were a resident of
Indiana and ovmer oi ihe afwementioned property on March 1. ZO
�ignaWre (owne/s IWI neme) �� Dale (manN. daY Y�/)
of appliiant (numbe an0 sLeel. cify. sfate. aM ZIP oode)
S � �hS�� c�i2(��.�1 c�
duy rxewled Po.ver of Allorecey ar by IC 61.1-12-.07
Address of aulhar¢ed pason (number aM sfreet cAy. sfate. arM LP ootle)
��Dale (n