HomeMy WebLinkAboutMortgage_Goddard (2)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
_ : FOR DEDUCTION PROM ASSESSED VALUATION -
• State Fam 43709 (R71 / 6-09)
S d p�y� p�, pe��� af Ldal Gm�emmeN Fnarice
.�
lNSTRUCTIONS:
To be fiied in person or 6y mail wifh the County Auditor or County Recorder o/ the aounry wheie the property is located.
Frl'mg Dates: i) Real Pmperty: Must fJe during Ne yea� for which !he deduclion is wughf. Coun Auditw
2J Mobde / ManulaGUred Homes rrot assessed as Real Propeny Must h7e during the hveNe (12) marths ry
6efore Mamh 31 of eacA year the deduct:on is sought. �L��� �q�pe�
See 2verse side !or adtlitional insfrucGOns and qualificafions.
Appfxant (owner —�puyer. see mstpG�ns m 2 side) ..
� IE'JC n � _.(1... . _� �
o�sv�a
- I q-:� l- yt�D -l�00-
a a I Mortgage � canvact maeeleaness unvaid as
aa�eta year
rc no. wna� Is t�s � ner e� 9,are o� incuev? - � �r owrred wnn somrone other man spa,se. indicate w;m wtpm
If name m recu�tl a OiRemit Nan ihat of applkant Indinte Eebw.
ProPem' ❑
a mntract
rtiortgagee ar mntraU uAer (man6er and sfree4 ciN, sfa.e. aM ZIP code)
Name of assignee or oNer owner rn hdder ot mortgage
Address of amgnee (numbv aM slree; tlry, state. and
Yes LI No
Mnualy Assessetl
Dces epplimnt wm yopeM1y in any oNer If yes. what munt�? VYtal Tad�g �isGid? Has ihis dedudion been repunsted m Propelty
coumy m InOiana? ❑ Yes ❑ No fw w'rent yeaY.+ ❑ Yes ❑ No