HomeMy WebLinkAboutMortgage_Neufelder (2)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7 ship Year
_ + FOR DEDUCTION FROM ASSESSED VALUATION
• Sta[e Fortn 43709 (R71 / 6-09)
�' � Presaibe0 by OepaM1menl ol Lmal Gavemrtrenl Firance
�� File Mark
STRUC710NS: ��T C
o be filed in person w by mail witA the CountyAudifor or Counry Recorder o! the county where the property is ed. �� �� �'
FiNrg Dates: 1J Real Pmperty: Mus! fJe dunng fhe year for which 7he deductlon is sougAf. r, ^ unry Audimr
2) Mobde / Manulactured Homes �rot assessed as Real Property Must file during (he twelve (72) month
before Marth 31 of each year the deducfion is saght County Recorder
See reverse side 7or additmnal instructions and qvalficat "ans. r �gSON COUN
='"�-3
e0 rWue oF rPal propeY.y as
1. ar�an year
It no. what Is his I hu era�Y share
If name on ramrC'a Stt¢r¢nt Nan Nat o/ appOWn�, uMitate below
�
Name m mwtqsqee «convaC uuu -i
nearess or martyaqee or m��� — Mr G��� 2 z�a code
/it"
- N F�L; �� 05 _
�
�< 1
� -
GqIN
� COUI
Detluct�� approved In tlre amouM aE
20 20 20 20
3-0 00� �o � R�b�� �
Spa ��� pl'�� uMebtednass �mGaiG as of
7
someo�re
Whai Taring DaUia7
20
spouse.
Pag numbv
�Uo g
Is Ne appMant Ne sde
kgal or equifade ow'ceR
❑ Yes ❑ No
Is ihe property in Question: MnuaMlt55esse0
❑ Real Properry ❑ Armually AssCSSed
Has N6 detlur]ion Oeen requestetl m property
ror anrent r«aR ❑ v�
❑ No
20 I 20
I/ We certify under Ne penalty of perjdfy that the a6ove�oregoing infortnation is We and cortect arW that the applipnt is a resideni of Indiana aM
rnmer I mntract buyer of the afaemeMioned property o te application is filed.
Nanue (o e/s fiN n ),�y'e ^- , Date (monN, daY. Yaa�
� ,(,�.�wr°i �%�
tl msitlent atltlress of appfirant (num r arM street, tiry, slate, aM ZIP cotle)
� 1!D Sov7-� �'anydl3C�L� 6L�d �o•v,(Q S� D) �/l� . 4 7l0 `3
rson autlroi¢eC by O�Ay ezeMed Power of Aitomey m by IC 61.7-12-0.7 Date (rtronN. day, ysa�
AEErass of aWmr'¢EM person (numOeraM sbae( dry. state, and LPCOtla)