HomeMy WebLinkAboutMortgage_Reed"�n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ s FOR DEDUCTION FROM ASSESSED VALUATION
. • Sfate Fotm 93709 (R71 / 609)
�` � pr¢soiy¢E py pepartmen� of Laral Govemmenl F�nca
�STRUCTIONS: �p
To 6e hled in person w by mail with Ihe CountyAuditor or County Recorder of the tounty where the property is located. � L��2 ���.
F7mg Dates: i) Real Property: Must file durirg the year (or which the deduction is mughL �Counry Auditor �
2) Mobde /ManufacNied Homes rat assessed as Real Property: Must h7e dunng tAe hvelve (12J months ,�J,�run Recwder
6efore March 31 0! each year Ne deduction is swght.
See reverse side foradditional insfructions and qualifications. ITOR
(Q�� p� �°"h�C hvyC� - see resbrtorcc m re.rrse vde)
C.L
ng Districc Ke num6er / le9al desc�iptbn RetorA numEer Pa9e numDer
�6 - -3� -3oD - oo/ 83� - o a a �87
rahc d real VoP�Y at of Mortpa 9e / Contract irdebcedn� unPaid as of Aiort9a9e / ConvaG'vdebtedness unPaid as d Is Ne aPP�^t the sde
1. amnl Ymr A1a� 7, airtent Y� date ot aOP�� � w eWttade wm�+
O S a ❑ Yes ❑ No
I( ro. whst a �'s ! Irer e�ct sha�e of interest? If wmed vriM somea�re oNer ttan s se, i(WMate wilh whom
If name m remrd 5 OHterart ihan ihat of aCP�^�• hdifate bebvr Is ihe P�DPrtY in Quesba�: Mnua%ASSesseC
� Reai �oaeny ❑ am�!�M asessea . . _.
Name of mortBa9ee a contaG seuer `(�L/ �.l�/ /
/ �
Pddress ot mortgagce or contraci se0er (nurMrl end stieel, cdy, re. :
ryy�e a( yqygnee or oNU owner or hoUer W mortga9e
Address o1 assi9nee (numbe+en0 atree4 �'. ��. end ZIP cotle) .,
� nt own MoP�Y in anY dher If yes. whal
counry in InOiana? ❑ No
n �PS
20 _
2rtqU11t O}:
�_
C 7• l'x°r
I/ We certify urWer ihe penal
owner I contrad buyer of the
'.af"'!'.'7t
GVUIY 1 T
been ieVUested an propelty
Dra�ti�cr \`O. ��.:����
2p— 20_ Cal"C� �i� . .....................
i —
Counry ' � Ua�eln...N�.,.=�.�—.,
ihe above arW foregoing infwmation is We and mrtec[ arM ihat Ne appli�ant is a resident of Indiana arW
property on date application is filed.
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antl shee4 �y. state, antl aY e)
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