HomeMy WebLinkAboutMortgage_Armstrong (10)STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS shi Year
.n_ FOR DEDUCTION FROM ASSESSED VALUATION
S1afe Fam 43709 (R70 H7-08)
�,.,. � Presai6ed Cy Dapa�trnant d Lorat CwemmaM Fuwrre
INSTRUCTIONS: Fle Mark
To 6e fAetl in peisan w by mad witlr the CounfyAWitor d the oounty where the property is located. `-yy�
Fling Dates: 7J Real Property: Must Re dwing the year7or whidr t1re deduction is soughG !�'� �
2J Mobde / Manulac�red Homes not essessetl as Rea/ Properly: Must fi!e tlunrg tlie hveHe (12) monfi�� Id ad� yeer
the deduction is saght GIBSON G 1' ��R
See ieverse side im adddional irutnldions aiM qualificetions
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COUNTY AUOITOR
Dedudion approved'm ihe artrouM of:
20 20 _ 20 20 _ 20 _ 20 20
Sgnatura d Cau�'AWitor Cam�Y Date (mmN. EaY.Y��
1/ We certi(y unCer the penalty af perjury tha[ Me above antl fwegoing mforma[ian is true and corred and tha[ the appliwnt is a resiAent of Intliana and
owner / mntrad buyer of tlie aforementioned {xoperty on date appliration is filed.
Sg\natura Oata (rsmrelt daY.Y�)
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F�A rasident address d appfiranl (nunGr 56cet, rily, fe ZIP cotle)
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PaiSa� a Wwt¢ed by duF/ exeated Power d Atlomey or by IC 6-7.1-72-0.7 Dale (rmdA. day, year)
AddressdaWhorizedparson (num0prands7reof,uty,sbto.andLPaodo)