HomeMy WebLinkAboutMortgage_Schoonover"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Towns ' Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
State Fortn 43709 (R71 / 6-09)
� y„ � Presmbetl M�^� of Lod Go�.emrtreM Finar¢e
Fle Mark
INSTRUCTIONS: p '
To be filed in person w by mail with the County Auditor or Counry Recorder o/ fhe county wF'ere the pioperty is located-QI�T �
Fiflrg Dates: 7) Real Property: Must fite durirg Ne yearlor which the deducfan is sought j��it nty Auditor
2J Mo6de / Manulactured Homes not assessed as Real Property Must file dunng Ne tweNe (12J rrwnMs � r�,�y"
before March 37 0( each year the deduclion is sought. � �� �- ��'�^ry R��
See reverse side for additional inshuctions and qualifications. \ �,ncnN COUN
T� D' ' // rwmher / legal deuription '
// �o —/
Assesse0 vahre d mal piap es d Mortp�ge / Contraa'u+d
Memh 1, al�W Y� Mar� 1, arRnt `/Par
/
If no. what b his l lcer erar� share of intrJest?
tt nartre m n.mtl is ddferent than that o( a00��t iriGimm hebrc
Nama m mutgagee a m„raa seue. V/�
Addtass d rtarn)a9rs or mntratl se0er (nuMr! and street �: smte. ald:
Name of asv,piee a mhu owner or hoNer N rtrrtgage
PdCrass of assignee (num6er anC street ary, stete, aM LP code)
Does ePplipnt am P�G�Y in any aNer If yes. wTat munty7
M
couky m Ine"mu? ❑ Yes ❑ No
Oetlucfian approved In tlie amount oE
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ur�pai0 as W
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3�`��f �-
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What
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20 � 20 _
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I ❑ Yes ❑ No
j. tridcaze with whom
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�I PfOpe(ty ❑ NmW�ly0.ssessed
M� Fbrt�e,�C 6
Has Mis dedumon Oeen reGUested m piape+ty
� � �' r-i .,_ n
20 _ � 20 _
�nawre d CamN Auditw I Cauny I Date (nmt7i. daY. Y��
1/ We certify under the penalry ot perjury Mat Ihe above and toregning infortnalion is true and correcl and Na[ the appliran[ is a resident of Indiana aM
owner I contract buyer of Ne aforemeMbned property on date appliratlon is filed. �...r1. .b
• iminu.�ehRArom\ / �����YW�.Y'Y�
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XaasE
Pgsm auUai'¢ed b�
(wmber anC stree4 �: state. eM LP mtle)
anea abwer orananer a oy �c
(number aM sbeef, dry, state. a
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