HomeMy WebLinkAboutMortgage_Young^`+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS T Year
s FOR DEDUCTION FROM ASSESSED VALUATION .
• State Form d3709 (Rtt / 6-09)
,' ,u. 1 PresaibeA M DeVa�nt o1 Laal Gwemment France
V 1 �8e�`
�srRUCnoNS: '
be filed in person w by mail with fhe CounryAUditor or Counry Rewrder o/ the counry where the pioperty is locate� ��.! F f�ed with:
F7ing Dates: 1) Real Pmperty: Musf file dumig fhe year for which the deduction is mught unty Auditor
2) Mo6de /Manulactuled Homes not assessed as Real Pmperty Must file during the IweNe (1�w�tL
6efore Malch 37 o7each year the tleductnon is swight. V,�JV� C� Nr U lTOTy R���
See reversa side for ad�nal insWCtions arid qual�cafions. _/
��nrd m�,`n,n._e.p.ad.:-i:.,� .,,,.o,d.m�:ioi �(�
u m.
If nalne an femrC
Nartre o1 trort9a9ee ar tonVact seller
Keynumber/le9 ption
a �- a3 -o� -
��e � �� ���� ��b � �
1, artent yenr
ifqirate Delow:
Atltlress d rmrt9MJ� a wntrad seDer (nun6er and sbee4 ciN• state. ard �
Name of assignee w oUrer owner or holder of mortgage
Address ot assgnce (number aM stree4 �Y, stete, anC ZIP catle)
Does app�iCant own property in any other u yes. what cwnry?
munry in Ind'ana?
❑ Yes ❑ No
DeEUCtion app�oved'c� itre amount oE
20 _
Sigrature or Counb Auditw
�i��
"T'Sl^.�..
COUNTYAUDROR
20 20
Counry
938 a�
mCeW.etln¢ss �mG� as o( Ls Ihe apykani Ne sde
kgal w equilade owneR
�DD ❑ Yes ❑ No
spouse. iMkate wfih wlwm
Is Me property in puestion: Mnuaaj AssesuE
❑ Real Ropelly ❑ Amtually A55essed
7rean
20
Date(monN.tlaY•Yee�
�7
20
I I We certify under the penalry of peryury that the above and foregning intwmalion is W e and correct and tha[ Ne applinnt is a resident of Indiana arW
owner / mntract buyer of ihe aforementioned property on date applicatlon is filed.
atltlress U appGrant
person (numGer arM street �: uale, and LP code)