HomeMy WebLinkAboutMortgage_Weaver^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
7___ ; FOR DEDUCTION FROM ASSESSED VALUATION
Sfate Fartn 43709 (R71 / 6-09)
�' ,.,� � Prewibetl by Departrtrent a( Loml Govemrtrenl Frence
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wsrRUCnorvs: Fvm�edm
b be filed in person w by mail with fhe CountyAuditor or Counry Recorder o! the aounry whem the property is located. U C l. 4� 2��9
FrBrg Dates: 1 J Real PmpeAy: Must file dudng fhe yaar fi� which fha detluction is soughL � Counry Auditor
2) Mobile / Manufactured Homes not assessed as Real Property Must file dunng the fweNe (12J months
6efo2 March 37 0l each year the deduction rs sought ���-Re�b�
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See reverse side for adddional instructions arM qualifications. V
Apofranl f�wner or convaC 6uyer- see resLi1� u m 2rerse s.d21 /. �.. n_.'..
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a�-Z�--��._30 _ood.�fT3-oay �ooy 51 �Y
value d real poperty es d MoKqage / Con4ac2'uWeCCetlness unpaid as of Morigage / Cantrary indehteCness unpaiA as of Is Ihe epp6ranl Ne sole
Mard� 1, anml year Marrh 1, n�rtent yrar aate o/ appGt�ation iegal or eWitade ovmeY?
O O ❑ vw ❑ No
If rm. what fs his / her e�aC share af inteJest? / If owned wiN someprre oN¢r than spouse. iMicate with whom
If name on recoN a dAferent than that W appOCan4 mtlifate Eebw. Is the m puestion: Mnually Assessed
eal P(opefty ❑ ArrctuaVyAssesSed
Nartre ot rtnrtgagee ar mnvaU se4er
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monqa9ee w mno-aa
owner or hdder ot mortgage
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AdC�esS of assignee (number en0 anee4 dy, sfete, and ZIP tode)
Dces aPplipnt avn property in any oNer I If yes, what muntyT
counry m IrWiana? ❑ Yes
❑ No
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VINCENNES
MlNI1Flt1•VYI@�PFSIMifIlHl9� UNNEIdIY
)UNTYAUDROR �
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W Camb AW eor Caunry �.0 _
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certify u er the penalry of pe � that the a6ove aM foregoing infortnalion is V. ` /^� ��rG ,.� 1
/ con buyer of e aforem lioned property on date apP���don is filed. �O� 9� S O _
(o`� rshmnartre �C (q p��
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ar by IC 61.
Mdress ot authwtrtd person (number aM sbee; trry, state.
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o� (r�orur, day,
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