HomeMy WebLinkAboutMortgage_Marano"•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun nship
__ ., FOR DEDUCTION FROM ASSESSED VALUATION
� . State Fwm C3709IR71 / 6-09)
, � Presaibed by DePa�nt o( Lowl Government Frunce
wsrnucnoNS: ���Z 2009
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To 6e filed in person w by mail wifh the County Auditor or Counry Remrder of the county where the property is located.
Fil"mg Dates: 7) Real Property: Must file durirg Ne }rear for which Ute deduction is wughL C�pr�luditor
2) Mobde / Manufaaured Homes rrof assessed as Real Pmperty Must file dudng the M1vefve (72J months
betae Maich 31 oJ each year the deduclion is sotght. � oumy �er
GIB ON OUNTY A DIT R
See reverse side !or addiLOnal instiuctlons and qualfications. .-
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Ta � District 7(ey rcm6er / legal d ' oon Remrtl numEar Page numbx
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Assessed veAm d real qoperty as d Abrtgage / ContraG'uWe6tetlness unpaiC as ot Mwtgaqe / Contrari intle�^ ess unpaid as of Is �he appifrant Ue sole
M1a�M 7. w'mt Y� Msrch 1, airtent year datc a( aPP��� � L J �oo �❑ YCSe ❑ No
7 6
If ro, what fs his ! hu eraiY share ol intsestl If owne0 wiN someone other ihan spouse. Indicate with whom
tl �artie m �emG's dfierent Ihan Nat W appOranl, trMirate bebvr Is ihe pmperty in puesuon: MnuaOy Assessed
� Real Propetty ❑ Nmuaily Pssessed
., MoW1e Fiortie (IC 61.1-7
mortgagee or mntratl s�er (num6er and shee4 cdy, state. ard LP code) - -'
owner or haMer N nwrtgage
Dl':1�\'CI' �D.i.:-.."'.'Y.lt::.....
Pddress ot assignee (numDer ad ahee4 �'. sFate. entl ZIP code)
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Dces applitant own yope�y in any oNer K yes. what counry/i What Ta�dn 1.:� 1� U �� Q.... ,�. ��.I ........ P�Y
I munry in Indiana? ❑ Y� }( �p
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