HomeMy WebLinkAboutMortgage_Lamey (3)"•r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tow ear
__ s FOR DEDUCTION FROM ASSESSED VALUATION
• Stata Fortn 43709/R71 / 609)
,,.,. � Prrsvibed M Deparbnerit of L.ocal Cavernmem Fuiance . I
File Mark
INSTRUCTIONS:
d '0.
b be filed in person or by maif with the County Auditor or Counry Recortler o! the counry whele tAe property is lorated.
Filirg Dates: 7J Real Property: Must fde durirg the yearfor which the deduction is wught. � u Auditw
2J Mobde / Manufactured Homes rrot assessed as Real Property Must fi7e dunng the hveNe (71) months
betore March 31 of each year the deduction is sought ��Q��
See 2verse side foraddilional instrucUons and quali�cafaons. � ,.,nC(�N C
p�apeny as of
rro. �Ma15 NS! tM� E�Ct
- /Gl - Q l UV -
e / Contract indehledness u
, turtent yeer
If name on iem(tl 6 QA;errnt fhan that ot appOCant, rtMipte Eelaw:
Name o1 rtnrtgagee v mntrarl seAer C� / ,�Ct7�
i
Address of rtqrtgagce w mntraq seller (numbr! a !, ciry. stete. ab
Name ot assignee m other owner or holder M npr�gage
AdCrass of assignee (number aM stree; rdy, slate, end LP catle)
Does epplirent wm pmpem� in any oNer If yes, what munp?
munry in InCiana?
❑ Yes ❑ No
Recoid number I PaBe numOr!
az
legal or equitade rnmeR
❑ Ye5 ❑ No
If owned wiM someorre olher ttan spouse, i�uate Wrth HRwm
C pfOpCrty N Qt�StIWf: Mf1U8M ASSCSYC
Real Pmperty ❑ P.nnually AssesSed
What Tarirg Distril]? Has �ha deduGim Ceen reQUested m propnity
tor o,rtnn Y��' r, .. r-� .