HomeMy WebLinkAboutMortgage_Kramer (2)^�� STATEMENT OF MORTGAGE OR
__,_ • FOR DEDUCTION FROM ASSES:
• Sfate Fartn 43709 (R11 / 6-09)
�' ,�,� Prrsaibetl by Depanmenl of Local Govemment Frunc
�vsrnucnoNS: JUL 1 9 2��2
To be filed in person w by mail witA the CountyAuditor or Counry Remrder of the wunty wFi rty is located.
Fi7ing Dates: 1) Real Property: Must file duririg the year lor which fhe deduction is songht�� ��' ��
2) Mobde /Manulactured Homes rwt assessed as Real Property Must fife durirg the e 72) months
6efore March 37 o/each yearthe deduction is soughG G�gSON COUNTY AUDITOR
See re� "�7 r addifional inshUCGOns and qualficatrons.
_� _ roruifi�e6uyer-seerestq'rliw�sRnreverseside) ^ � �
File Mark
Form filed wi�h:
�Counry Auditor
Counry Recorder
K� ul `� �� `��-.�C/ �W �./� . S a s-o b Remrd nu Page n �
peoperty as of Contraa irdehtedness unpaid as of Mortgage / ConVact'vWe6tedness unpaid az Is Ne app�rcant Ne sole
date o( epP�m� �egal a epuitab�e orrtmll
� ❑ Yes ❑ No
r e� share of mteJest9
Eifrerent Nan Ihat ot applican; uMicdte 6elow.
IJame W mortgagee or contraG seller i' l
`/�/i C.%�i
AEdres N rtvtga9ee or cantrad s�n+(nuMe� aM svee; cify, state.
Name of assignee w oNer awner w halda of mort9age
AdE2ss of assignee (num6er arM atree4 �Y. s+ate, aM Z/P ootle)
� _
Does apdi�nt ovm property in,env r+F^- � �untyt
counry in IMiw��
E � RA� �A �o�m =
�
- ia-�°D� T
20
vnih sameorre aher ihan sP�. iMicate wtth whom
I5 ihe P�PQnY in Quesiion: Mnualty Azsessetl
❑ Rea� aoa�M 0 ��N �
Mohle Hort�e (IC 61.
u
Wha1 Tadrn� Dis[ricl?
20
Has Nis detlu�lion Ceen �equwle0 m pmpelty
for current yeaR �.. n
zo_ , zo_
yyr, _ _. - I Counry I Date (monlh. daY Yea�
i/ We certify under ihe penalry of perjury Nat Ne above arW (oregoing infortnalirn is W e and cortect and that the appli�ant is a resident of Indiana aM
owner I contrad buyer ot the aforementioned pmpeRy on date apD��tion is filed.
ss ol appGrant wmbeTarNSbre4 �Y �te. Z!P mtle) L ,
� 5 � J� E ,�. � C� f'1Q� G l�-1 , Z� �—{ 1
Gy duty exewted Power of Atlomey or Cy IC 61.7-72-0.7
Pd person (number aiM sbeet, dry, state, arM ZIP catle) .
oare (momn, aaY. l'eeA