HomeMy WebLinkAboutMortgage_Saunders"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
• FOR DEDUCTION FROM ASSESSED VALUATION . /
State Fwm 03709 (R71 / 6-09) �/
S w„ Fresaitee ey DepaRmerR of l.�l Coremmem FuierKa
IN57RUCT70NS ��,,g
b be filed in person a by mad »ith the CounryAUditor w Counry Recorder o! fhe oounry where the property is bc�.T 1 J��'
FiNrg Dates: 7J Real Property: Must file durng Ne year for wf�ich the deduction is sought � Counry Auditnr
2) Mobi7e / ManuFactu2d Homes rat assesced es Real Pmperty: Must fde dunng Ma twelve (72J mpnths �nry Recader
6efore March 31 0/ each year Me deduc6on is sought. ��
See reversa side 7ar additiunal instruct(ons end qvalficat"pns. ✓
App6mnt or oontraC 6N'� see m ra�erse si7e) I
IT g District �wmDer / kgal drxfiG� RemrC numDer Page numbs ..
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Asaesse0 raWe d �
Ma�d� 1. a+mn yar
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If rume m remd is QAlerent than Nat W aDP��t 4Midte bebvr.
Name of rt�ea or mntaa se0er �
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Mdress of morigagee a cantrad se�nl (nuMei and street �Y. ��. arx
Name of assignea w oMc oxner or holder af mortgage
AGCress of assigna num0ar aM stree; r4y, stafe. and LP co0e)
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Ooes eppinnt own propem� in any oMer If yes. what caunn
munry m Ind'ana? ❑ Yes
❑ No
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owner I
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the penafy oi
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btedness unpxitl as W Mongape I CantrarY mCebteEness unpaid az d Is Me eppOrant W sde
Eate of aOP��+ � a e7�^�aa °'^"�
) U ❑ Yes ❑ No
N v+mea vritn sortwane athm tt�an spp�se. udimte with whom
,h.��ihe O�P�Y in 7uestim: Mm�ally Assessed
�y rteal PtoPeRY Q Armually'4ssessed
MobBe Fiome (IC G7.1=�
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COUNTY AUDR
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thal the above and foregoing infortnaf
ned,property on date applintian is filea.
Deen 2quested m P�OP+�Y
fm arteN
s�,es1 J- s u �,o -
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o,?D!o-�a 5�
ainh«ae0 Dy duy executea Power of Av«neY a M IC F7.7-i 20.7 u I Date (moah. daY. Y�)
s of auNOmed persa+ (numbe� aM sbee; cdy, stata. an0 LP code) .
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