HomeMy WebLinkAboutMortgage_Neufelder^'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION
+r— : .
Sfale Fwm 43709 (R11 / 6-09) -
� � PresaibeA Ey DepartrneM of Local Govemment Frence � ri
,w Sub)ec€�APt'�'�acceptance for trans(er
wsrRUCnoNS:
F wiN:
b be filed in person w by maif with the CountyAUditor w Counry Recorde� o/ Ne munty where the pmperty is located.
Fil'mg Dafes: 7) Real Property. Must �le dunrrc� Ne year (or which the deduction is soughL ty q�dRn�
2) Mobde / ManWactuled Homes irot assessed as Real Property: Must h7e dunng the lwelve (12) monthsC •
6efore March 37 of each year the deduction is sought. ❑ �IY e�Audi ot
See reverse side for additional inshucfions and qualifications. � _ _ �ty
curtentynar
ro, what is his / her e� share W intuest?
It name m remrd'S tlifterenl than Nat of appOpnt, irMicate �ebw.
Name of rtnrtgagce or crnttact
Address of nmgagee or contraG
twlder
Dce5 eDD�itan[ own 7�OenY in anY oiha
munryinlnd'ena7 n .,__
�
end ZIP cade)
V ./ V—UO�
unpaiA as o( Mortgage / Cantrac2 intleMednes
Eate o� applicalion ��
If wrtred wiN somea�e UMr n spouse.
DisUic[7
Page numGa
impaid as of is Ne appllrant the sde
1eg31 w etryifatle ownM
n Yes ❑ No
Real RoPertY ❑ MnualyAssessed
Mob1e Hpne (IC 6
Has Nis tleCU�on Eeen �epue5te0 on G�W�Y
tor wr2M yeaR �__ �