HomeMy WebLinkAboutMortgage_Nevill\
�
� -r
/.+�•* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS n'� hi Year
r,. FOR DEDUCTION FROM ASSESSED VALUATION
State Fortn 43709 (RB! 2-07)
�� PreSrnbed by Departmenl of Local Govemment Firence AP R 0 I 2009
File Mark
INSTRUCTIONS: � � ��
To be filed in person or by mail with the CounfyAuditor o/ the county where Ne property is located. �
Fding Dafes: 7J Real Property: During the 12 months be%re June 11 of the year the deduction is to be e/fec��ON COUNTY�I�DITOR
2) Mobile Homes assessed under IC 6-7. 7-7: Behveen January 75 and March 2 0/ the year the ucGon is to be e ec ve.
See reverse side Ia addifional insWctions and qualificafions.
Applicant ( er w wnLacY buyer - se sVictians on �eveise sitle}
T' g DisUid ey number / legal description Record number Page number �
a6 -/v-��-9-ioa -.00�.a� _oo� . o� 9 9as
Assessed ralue of real af Mardi 7, aarent ysir Mortpage / ConVact intlebletlness unpaid as of March 1, Is the applimnl the sda legal p equitable wmeR
anent year �`/ O O� ❑ Yes ❑ No
_�
�what is his I her exacl share of irMresl? If owned wilh someone other ihan spouse, indrala wiih whom.
If name m recad is different Nan that of applicant, intlinle below: Is Ihe prcyerty in quaslim:
. . � ^__.__.._—__.i1.1-7)
Name of mortgagee ar Ua seller \ ����y V
— --- -- --=� - Dra�ver NO...Q.�....(........
Address of morlgagee w mnUaG seller (number arM sheet. tity, state. aM Z cnde)
NameotassigneeorWieroarrerarhdderofmongage �`a1'CI ��Q.
........ �..........
Address of assigriae (numbereM streef. city, state. entl ZIP cotle) . yj q T�t,{„�/.�/
Does applicanl o.m property in arry other It yea. whal cuunt� VJhat Tezing Disirid7 Hm Ih'ta deduclion been requested on poperty
courrty in Intliana7 �w w�ranl Yas(1
❑Yes ❑No ❑Yes ❑No