HomeMy WebLinkAboutMortgage_Vinnedge"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION � �
State Form C3709 (R71 / 6-W )
�.w � Presvibetl by DepartmerG o1 Local Govemmerit Firance
1 0 iVi2I�C
INSTRUC710NS: N(�\I
To 6e filed in person w by mail with the Co�nryAUditw or Counry Recortler of the counry whe�a tAe property 1s4o�at�. �
Frfig Dates: i) Real Property: Must fde durirg fhe year for whifh the deduction is sought
2) kfo6de / Manulactured Homes rat assessed as Real Pioperty Must file dwing the hvelve (12) months
6efore March 37 0/ each year the deduction is swght d/��., ,�,
SeeieversesiAeloraddilionalinstrtiCtbnsandqualificafions. f;IPS(1N (: UNTY
I, App�nt Iowner or contraC buyer - see rastricbons m mverse side) „ •
iher / legel description
'I 1.Urtaape / Cantraa 4
Marrh 1, arrent year
n ro, what Ls his llcer eraU share oi interest7 �
tt fwrie m remrd's EiFeren[ than that af aGP��C uMip[e Oelmr.
Name of rtnrtgagee a mntrarl se0er
Mdress d rtiortgagee ar mntrsd se0
Pdtlress of assgnee numoer ard atreeL
T �
Ooes applifaM ovm property in any oNu
cwnryinlMana? ❑ Yes
�
I / We certify
owner I canC
sbeet �Y• state.
ay, slate, aM LP mtle)
CcJ / 9 , ,L
If yes. what
i �ed wiN:
� CounryAuditor
❑ County Recorder
� V,!//
^ OO D, Y Recard num6er _ Page nuLmbrl� �
9 � -oo aoa � Y�
ess unPaid as of Mongape I Corttrac2 @WebteOness unP� as of Is ihe ePW�i Me sda
tlate of aOP�� � � ��ae �T'�'�
❑ Yes ❑ No
If o«ned wiTh someone other than wo��� hdifafe with wMm
is perty in quesoon: Mnua�' Assessetl
Real PtoPenY ❑ %N^ualt�' Ass�sed
Mobile Flane (IC 61.1-T
couNrrauortoa
�_ �_ zo
tor n Caunry
i�-,
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Ne penalty of perjury t the above arM foregoing infwmaUon is true ani
ver of the aforementioned propertY on date applicatlon is filed.
M duty etecuted Pawer d Avorney w by
� person (num6er aiM sneef, fity, sbk
� . ,
r'SS'
C
duc0on Eeen reques[eA m p�opelty
� ❑ ves ❑
��1 ✓rN��Da� �
CNA�S►� �
m��-y
1UU�2 -l-i�o�.
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� Date (mmfh. OaY. Y�a�)
Oate (manlh. QaY. l'g�