HomeMy WebLinkAboutMortgage_Spindler (10)STATEMENT OFMORTGAGE OR CONTRACTINDEBTEDNESS
_ FOR DEDUCTION FROM ASSESSED VALUATION
S1ata Form 43709 (R70 /it-08)
� r PresrnbaE DY �M�ent H Loml GovammeM F'utan�
INSTRUC770NS:
To be filee in persan a by mad witl� the CaurrtyAWilor d fhe county where the property is located.
Ftiirng Oates: 1J Real Properfy.� Musf tde during the yeer for whirh the deduction is sovght.
2) Mobde / Manufactured Homes not assessed as Real Properfy: Must fite Aunry Hie fweAre (12) m � U N f�A �o o� ol each yeer
ue deaucFion is saight ,�
See ieverse side for adddional irtsWdions arM 4�Ifi�eGOns.
remtl ¢ cararam u,a�, u�a�
Name d mortgagee n mrtraC seller
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ey number / kgal desuiption
Mor1papa i cwar�:,eq6I
Marr3i /1. amrartl y,ea/r �![� i�
Q - V� . 'T 7'v
rtast?
FeDG�. �ita� beUv.^.
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Addrass of assiprrea (Iwmbw aM shcM. ti�: ffih�. and LP oode)
Ooas appGant own p�ope�ty in a�ry IXher tl yes. what murtly?
��n � iw�a�a�
❑ Yes ❑ No
�
/ li1tSAUIV YiCt00 UI
Da�. S�S�% O� Sl OO
Lressunpaidasaf MalpapelCoRradindehleMessunpaiLasd IstM
dateo � tion le9al
- Oa S� CIC�
H owned xdlh olher Ihan sP�se.'vtlicate with W�wn
��, �ao�-a�8 �!
� � � 8,boo . �i
r. l • -' � °�
20 Op] 2�_ I 20 20_
1
�naturedCOUMyAuAita ��—��-/r /n^
I/ We certify under ihe penalty of pe�ury that Ne above antl foregdng uifi �
owner! mnGact buyer M t�e aforementionetl proPerty on date applintion �°2
J ia oow�,�w.�,.Y.a�/Q u bs�a� ��- a�_ � �'
S, o_ o3ao _ o aa. f. �-
fuy ezecuted Pwer of Atlomey w by IC 6-7.7.12-0.7 da i/
•r
parson (num6orandsLOOt ciry; sbfa. mitl LP w0e)
dtable oWneR
Yes ❑ No
AssasSed
an �m
❑ No
20
Indiana and
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