HomeMy WebLinkAboutMortgage_Briody"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
.�_ ,
: FOR DEDUCTION FROM ASSESSED VALUATION
• Sta[e Farm 03709IR71 / 609)
�' � PresviLeC M �ePaRment of Laal Goremmenl France
I0 2fi(
wsrRUCnorvs
To 6e filed in person or by mail with Ne County Auditor or Counry Recorder of Ne county where the pmperry is located.
Filiny Dates: 7J Real Property: Mast file durirg the year for which the deducGon is sought.
2) Mobde / Manulactured Homes rat assessed as Real Pmperty: Must fi/e dunng tbe nveNe (72) mon(hs
betore March 31 of each year the deduclion is sought.
See reverse side !or atlditional insWCGons and qualifrcatrons.
I owner or mnvart buYer - see IesficLDru m rerer6e vdel // � . n
is fus I
County Audimr
-/[� -�� -oo ' ��- oa y as
�/ Contrati indebtedness unpaid az of Morigage I Conrxt inCebteEness unpaid a d Is Ihe applkant Me sde
airtent yeer date o( appfi�tim legal w itable amM
�Q Yes ❑ No
If owned wiN someone ofher than spouse, hWicale with wtqm �
It'wrie m rem�tl's 6}tuent ihan Na[ af app6ran; 6W'uate bebw:
Name ol rtnrtpagec a mntrad se0er
� / L n�
� d/�_
nurMer and stree; ciry. sbm, arW LP wde)
er of rtwrtgage
cdy, stafe, and LP cade)
property in Question: MnuaOy Assessed
:el RoPeKY ❑ ��Y �
�Ooes aPqi�ni ovm property in any other I If yrs, what munp? I What Tari�g Distr'u3? I Has Ufra deEuciim Eeen requested m p(oprJty �
counry m Intliana? ❑ Yes ❑ No for artent yeaR � Yes ❑ No