HomeMy WebLinkAboutMortgage_Weaver (3)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year Y
:.:_.
FOR DEDUCTION FROM ASSESSED VALUATION
State Form d3709 (R77 / 6-09)
� Presvibed Gy Deparirtrent o1 Local GovemmeM Frence
F
INSTRUCTIONS:
F
To be filed in person w by mad with the CounryAUditw or Counry Recorder o! the county where tf�e property is bcated. �
Filing Dates: 7) Real Property: Must file during the yearlor which the deduction is soughf. Coun A ditor
2) Mo6�7e /Manufactured Homes not assessed as Real Property.� Must file dunng Me tweNe (12) months
befae March 37 ot each year the deduction is sought. ��� un er
See /everse skie foraddifional insWCGons and qualfications. � .__,,,,urv AUDI
Key numEer / le9al desaiptim Record numbv Pa e numM1
-�i� -/a 3 -O�o. a�o-0��' G / � G�
i rcal proprny as d F1o�t�a ge / Conbaa'ude6tedness unpaid as d Mortgage / ConraG'udebtedness unpaid as d Is the app�nt Ma sole
year March 7, n�rtem year Cate af appfrcation legal ar equilade amrYi
❑ Yes ❑ No
/ her e�tl share of interest? If mmeE with someone aher than spouse. indicate with wtam
It name on reoofd is EiRerent Ihan Ihat o( aPp6r�aq 6d'uate bebw:
nqRgagee b mntraU se9er
or mntraa s�er (nunNer entl stree; cdy, state.
a
Pdtlress of
�a,�, �CoQa° b.`�i �,�u�.n�,
couniy in 0
��aJeJ�C_.
zo _
I/We
c`�01 I - I �SC� S
� 85, 35o�.�i
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What Tad�g Drstrict?
�
is Ne property in 9ue5UOn: Mnua�y AssesSed
� Real Property ❑ NmuaOy Assessed
Moble Fbnte (IC 61.
-c� �v ,�G�e
Nis tleduUim Oeen requesled on pmpeny
u�rent yeaR � _ _ �
zo � zo
�Y Yea�
itortnaGon is We and cortect arid that the applitant is a resident o( Indiana arM
�n is filed.
s�W revdeM a00re55 of appG[ant (number and strce4 �1Y, �te. and LP maej
jC I�/br6 Soui-Ei Wes-f 5-i- �{n�h<+ad+ /-
�rerwn auUar¢ed Dy duy ezewced Pwer dAttomey or Cy IC 61.1-12-0.7
o� (r�orvn, eay,