HomeMy WebLinkAboutMortgage_Luhring^�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
.= FOR DEDUCTION FROM ASSESSED VALUATION
Sla[e Farm 43709 (R71/6-09)
�` p Pr¢soibed Gy Departrtrent o1 Local Govemrtrenl Fnanca
� w ��
srnucnoNS:
To 6e lled in person w by maii witM1 the CountyAuditor or Counry Recorder o! the wunty where [he property is located.
Fil'vg Dates: 1J Real Property Must fik dunng fhe year fir which the deduction is sought. -
2) Mo6de /Manulactured Hortres rrot assessed as Real Property Must file during the M1reNe (12) months
6efore Maich 31 0/ each year the deduction is sotqht.
See reverse side !or additiona/ insfructions arM qualiflcations. r ��
�seC veA�e d real property as d
11. civ�ad Year
wha� is his / her e>ad share o(
11 iwrie an 2catl is
Name of mort9a9� or mntf-aCt se0er
contratl se0a
J Mortgage I Contraa'v
Mard� 1. artent year
mdifate 6elow:
w othu owner or hdCer ot mortgage
Address ot a� ' ce(numbe� aM street �Y. �%e.
Daes appiinnt ovin poperty in any oNer
munry in Ind"aria? ❑ Yes ❑ No
catle)
If yes. what munp?
(
Recorder
,a. soi- � ��o�
tl as of Mortgage I Contracl uMebtedrress unpaiG as d b Ne eppli�ant Ne soie
Eate oi a0d���� legal a equitahle ovme(1
� (�(� ❑ Yes ❑ No
i( awned vriN someone oNer than spouse. iidirate wiTh ximm
is C�e DbPertY in Ouestim: M�waOy AswsseJ
�Real ProPeRY � A^^�Y�
Abbile Home (IC 61.
3(� - 3-�o a.odt�+�
Has Ih's dedutlip� Eeen rtquestetl m ptopeM1y
for wrtent yeaR ❑ Yes ❑
�
duction approved In Ne amount of.
�1'811'CI' �i0...�0' I
20_ 2p_ 2p_ ......1.
„a���«�m,�� Card i\�O. ...y�Q
��J��� .1...
I I We ceNfy under Ne penalty of perjury Uat Ihe above and fon �-�u�1 �. �(, �o�jQ ��
owner I contract buyer of the aforementioned property on date ayµ�..o,........._.,_.
/ FWI resiAenc aAtlress W a�
�Io283 S �
Person author�E b� Auy
; �te, ard zrr ome)
s+w�fi, �N 4�6
by IC 61.142-0.7
p¢rson (numberaid sbee; dry. slate,
r�
; is a resident of Indiana aM
GOIZ
Date (monN. tlaY. Y�A