HomeMy WebLinkAboutMortgage_Spindler (9)� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
FOR DEDUCTION FROM ASSESSED VALUATION
� StdIB Fpm 03709 (R71 / 609)
,,,,. Pte5mbe0 by Depanmard oT Lxal Gbvemmerrt Firence ,
INSTRUCiIONS:
To be filed in person of 6y mad wifh the CounryAuditor or Counry Recorder o/ fhe oamry where the property is loca[ed.
Fiiing Dates: 1 J Real Property Must 61e tlurmg fhe year (or which the deduclion is wught.
2) Mo6de / Manulactumd Homes rat assessed es Real Property Must file during Ihe M1veHe (12J monNs
befo/e March 37 0( each year the deduction is saqht.
See raversa side (of additional inshuctions end qualifiwtrons.
MP�^Y�D��utontrarl�ryEr-seereshpYSytsonrewrsesiie) /� o n n
d � p�opvty az af
Y�
m
r�a� m �art�e� � m,o-a�. �ne�
AGdress of �rotgagee or contraU seA
Name of asignea or oNer owner
C�snt own
InOiana?
��i:��V/��Ll�l.
I
:�
mortgage
ro streeL �Y• smte. am tlr mae7
any oMer If yes, what munty?
Yes ❑ No
oeducoon zvw� m me amounc ot
data ot app�tation
tt orned wiN srnneo�re oiher
Year
Remrder
as of Is tl�e epP�^� tlie saie
�I a equimda wmeYt
1 ❑ Yes ❑ No
�Is property in Ouestion: MnuaOy AssesseC
Real RoPerlY ❑ Mnual�YAssessed
7� a�onae r� nc s
O�h
�!.........
Dra���er NO...�.�3
......
C3l'Ci 1�0 .p............00
�.�•�• . W�IDQ��' /'
20 2b _ 20 _ 20 20 _ 20 _ n1 _
Sig�anue U Cwnh AuGitor Counry Date (rtanN. daY. Y��
� I I We certify under Ne penalty of perjury thai the above and foregoing intortnation is trve and corteU aM that the applicant is a residerrt of IrWiana aM
owner I mntract buyer of Ne atoremenUoned property on date application is filed.
sb m».�s r„e �i'emei a oa� (�an. aar. r�l
Fu0 retitlenl6' �es. MappGrant (num6er antl sbee( �; state. antl LP ca
� �3 aoo ��
Pcson au0q�tred Ey dWy ezewte0 Povm1 W AlldneY w C�' IC 6t.1-12�.7
PdCmss of auCm�'ved prJSOn (number ar�tl sbaet dry, sfete. an0 LP mde)
r
(monfh. daY, Y�A