HomeMy WebLinkAboutMortgage_Curl"'+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ : FOR DEDUCTION FROM ASSESSED VALUATION J�
• State Fortn 437W (R71 / 6-09) �
� ! P�esaibed by Department of Laal Govemrtrent Friance �
µ � File Mark
wsrRUCnoNS:
F«,�, maa wm,:
To 6e filed in person w by mail with the County Auditor or Counry Recortier o! the counry where the property is located.
Fi/irg Da[es: 7) Real Pmperty: Must file durirg the year for which the deduction is soughL Coun Auditor
2J Mo6i/e / Manulactured Homes not assessed as Real Property Must file dunlg fhe tweNe (12J months ry
befoie March 37 of each year the deducfion is sought County Remrder
See reverse side 7or additional instruUions and qualificafions.
IM owre�mmnvarl6ygr-see mre�+erseside) .
YT f
I Ta ' DjG � Key au / legal d 'pfion _ _ _ _ Recortf number Page �ymEU�
��
Y��
her eraG share ol
If �wrie an remrC s SAferent Nan Nat af appOCan4 mtlirate Oebw.
Name oi rtwngagea w contract seller
Address d rtart9a9ce or mntraG se�er (numOr� entl strec4 �1: sm�.
Name of assignee or oNer owner w hdder W rtqrtgage
Mtlress ot assignee (numDer arM snee; riry. stere, and ZIP cade)
Ooes epdimnt awn propeM1y in any other I If yes. what munp?
counry m Intliana?
❑ Yes ❑ No
m
20 _ � 20
s��tu�a w
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Ii owned
a�9
:d�ss unpaid as o! Is ihe
�n legal
7
Yes L� No
Is the praperty in 9�^: �nua�y Asessed
�Real Property ❑ Armually Asessed
�_jA(1'1�-S A - L(�firZ.l.
WhatTari`gD¢triclT �('/ � �� � /1, , n /
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2� � 2(1 � 2f1
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i I We cerOfy under the penalty of perjury that the above anE foregoing intortnalion is We and cortect and that Me applicant is a resident o( Indiana and
ovmep/ wntract buyer of Ne afo2meMioned properry on date application is filed.
w Cy IC 61.1-12-0]
Date (monM, day.
ldtlre55 of aNhaIIed pC50n (nurtWCr aMI 50CC{ Gty, 51at8. an0 LP cotlB) , I
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