HomeMy WebLinkAboutMortgage_Loewenkamp"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear �
__ FOR DEDUCTION FROM ASSESSED VALUATION
• Sfate Fwm 43709 (R71 / 6-09)
� � Presaibed bi Department al tnol Govemmenl Fl(unce `
File Mark
wsrRUCnoNS:
To be filed in person or by mail with Ne CounlyAUditor or Counry Recorder o( fhe county where the properry is located.
Fi7irg Dates: 1) Real Pmperry: Must file dunrg the year /or whicA the deduction is soughG
2J A}o6de / ManufecN2d Hortres not assessed as Real Prt�pe/7y.� Must file dunng fAe twelve (12) monfhs C. �ditor
befoia March 37 0( each year the deduction is sought � tY �
See 2verse side foradditionel instruc76Dns andqualific2f�Ona f�IFLC(1N l:!]I INTV Al1nITnR
�rWUe d real P�Y as af
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R m, what ts tus / hei ena shara ot inteiest?
tt fwrre m �emd is 6Re�en� lhan tlat of appl
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Mam}i 1. nment yeer
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Mdrea d nartqagee tt contrad seder (rnuMr� end sneel, cdY. sb.e.
Name M assignee w oNer owner w hdder W rtqrtgage /�
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AEdress of assignee (rcm0er aM atreet �1: sb1e, and Z/P cotle)
Dces e�itaN ovm WuGP+�Y in anY olher If }es. what ca
munry in Indiana? r-� .. . r-i ..
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V/hat
COUNTYAUDROR
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Yes LI No
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�Real Property ❑ Armually Asse.tsed
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been re9uestm m propaty
Dra�ti•er NO....,°�,�.�.0 / zo_ zo_ zo_ zo_
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SLL C°'"N Date (mavh, daY. Y��
Card NO . .....................
���SV V. (T� I foregoing intortnation is We and corte�3 arW thal the applicant is a resident of IrWiana aiM
/ ConV-au w.... __ 3te aPPfi�albn i5 filed.
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1 resitlent d t(number and sLee4 �, sbte. and LP mtle)
2 .SI � cr c.-4 /,Q% /o� � �lG ��r
Person aWia'ved Ey Eldy exewte0 Povm10/ Avvney w by IC 67.7-t2-0.7
P4dr�s ot aW�orrzed person (numbe�a�W sfreet ciry. sfale. e�d LPOOde)
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