HomeMy WebLinkAboutMortgage_Finnerty_rySTATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township_.. Yeai
FOR DEDUCTION FROM ASSESSED VALUATION
� � State Form C3709 (R71 / 6-09)
, a�. Presai6eO M DePa�rk of Local Govemmerrt Fiwice
File Mark
INSTRUCTIONS:
To be filed in person w by mail wiM the County Auditor o� Counry Recoider e/ the cainry where the poperty is located. �
Filirg Dates: 1J Real Property: Must file dunrg Ne year /or which the deduction is mugh[ � County Aud"rtor
2) Mobde / Manufadured Homes not assessed es Real Property Must file dunng the tweNe (72) months
6etae March 37 of each year the deduclion is sotght. ���e�
SeereversesideforadditionalinslrtxJionsandqualifications. IBSON COUNTY A
Ap t(owne� w contraC buyer- see �5 on reverse side) .
r� �¢. G �%r,c�,.n�
r o�ma Key numEa / legal EesaiGtiw+ V %-O � � f0 0 P�3 I!� ..`+�
alo-�9 - 3/- 303 - 000,
AssesseE vaWe d real D�P�Y az of hbnpa 9e / Coniraa intle6tedness unGaid as d Mortgage / Contraa'uMebLLWr�s unPaid as ot Is Ihe eOP��t Ihe sale
Ma�d� 1. anva ym Mart�h 7. a�rtmt yenr eate or eDP�� � a�1°�ae OM1�
I.�� �DD ❑Yes ❑ No
If m. what Is Ns / her rsa�Y share of intelest?
tt rwne m rtmd's 6fte2nt Man Nat
a mntrae sener
C , � .
� w mnbacl seller (number end alreaL �M stam. and LP cade)
Name af assignee w othr,r owner w halder of rt�ortga9e
AOCress at astignee (num6er and streeG tily, �efe. ana
a.u.
Doev a�pli�rrt own yoperry in any oNer
munry m �nd�ana? ❑ Yes ❑ No
Deducfiuwi xDD�� 4� Ihe amoun[ of:
20 20 _
I/ We certify under ihe
Signanue (owne/s
N �
of perjury ihat
sPouse. iMicate riCi �vlwm
Is Ihe P�oDertY in Ouestion: Mrnia�Y Assessed
� Real ProPeKY � !`!�!�!��Y�??�
:�"" „�69 d�fl
YFS, what oount�? What Te�d� D¢IriclT Has U�a EeduCion Daen reVUested m p�operry
�°^� __G'1_'"____O-N
COUNI'YAUDROR �.Y"' �" �� �NN� G
i.���T/� / .
20 _ I 20 20
./ CaunH o"— 1 D I�GS/
e aM foregoing infortnation is true aiM cortect and �hat the applkant �s a reaa�„.,. ..._._._ .
on date appiication is filed.
c�'O /�/• iii]r/6 S� -' (/!O � �CS� �i'
Person autlw�¢eE Dy executed PorerW Attm�eY � M IC El. t-12-0.7
Pdd� W autl�orrsed person (numbera� snee4 ary, sbte, end ZIP catle)