HomeMy WebLinkAboutMortgage_Morrison (12).t °'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
State Fortn 43709 (Re l 2-07)
�' �.� ✓ p�escnbed by Deparlmenl of Lorai Go�emmenl Finance � �
File Mark
INSTRUCTIONS:
To be hled in person w by mad with the ComdyAUditor o) fhe courtty where the property is bcated. N � V 0 � t � � 8
Fding Dates: iJ Real Property.' Dunng Ihe 12 months before June 11 M the }rea� the deduction is fo be elfective.
2) Mobile Homes assessed urMer fC 6-1.1-7: Behveen January 15 and March 2 0/ Ure year the deduc6on is to be eAective.
See 2verse side /w additional ins Wctions and qualifications. �p �,Q�a, -
��rr�q�g/r �I Iegal
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1. artent y�r
his / her erzad share af
I If reme m remrd
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4—/�-00/ /c��6
3ge / ConVad indebtedness unptid as of March 1,
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u owned with somernie oU
Nartre of nqrt)agee or tanUacl sdler �
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nda�css ��ayee « c��e sd� {nurt,na. �e sneet cA: sm�e.
Name of ass9nee a alher oancr w hdtle+ o( mortgx8e
� Address oF asv9nee
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IlWec
Indiana
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Is Ihe appfimnl Ihe sole legal w equii�
❑ Yes ❑ No
spouse. Indiwte wilh whom.
Is Ihe properly in questian:
❑ R�I Prooertv ❑ Mobile Home pC 67
2�
o� �,��, �y.
�esled on properry
❑ Yes ❑ No
�
under the penalry of perjury Miat the above and fwegoing infortnabon is We and correct and that the appGcanfs was / were a residenl of
�vmer� Ihe aforemen6oned properly on March 1� r7U
� nn i .. /1 i Dale (monfh. daY•Y��
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�r d stre aty, SfaIB.
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Power of Al ar W IC 1
� Address of auUwrized person (numbei arrd sfreeG c4y, sfate, aMl LP mde)
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day, yea�