HomeMy WebLinkAboutMortgage_Freed�
^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
s FOR DEDUCTION FROM ASSESSED VALUATION
, State Fwm 43709 (Rt t/ 609)
� t PresviOeE �Y ��N of lorW GovemmeM Fuarice
I�
INSTRUCTIONS: �iepp�pt
To 6e filed in person w by maii wiN the CounlyAuditw or Counry Recorder o! the county where the property is located. A P FL `t L V I 1
Fdhg Dates: 7) Real Property: Must file dunrg fhe }rear (or which fha deduclion is soughG County Auditor
2J Mobde /Manufadumd Homes not assessed as Real Property Musf file dunng fhe twefve (12) months C�
befole March 31 of each yaar Ne deduction is soughf. unty Recorder
See 2verse side (or addiGonel instnxGons aM qualificationa �
MO��� (°�r ar contrau buy?r - see �c�icfpru m reversp side)
te �a,e d re� w�r.r as m
1, qmlrt y`ar
whBl 6 ftl5 I 1R! CF2CI Sh818 Of Y11MP31�
�/leqaldew�fion RemN� Pagen
/ - ,/�D '000. OJl -Od I'7� O
!AOrtpage / Cantract inde6tetlnms unpaid es d Mortgage / Contraa 6dehtedness impaid es d Is Ihe aDd�i Ne sde
Na� 7. a�mnt.�` Eate W appGpt"v� legal or equRahle or+u/!
p� {%O � ❑ Yes ❑ No
If oxned with someane othu ihan spause. indrate with wlnm
It name m recorC a dAfeimt Uan that o( aPp6ca� uWkate belmr
Name ot
uDer (num6er erd stree; c�}; sfele, aM LP code)
Name o1 a�wnee or oNU awner or halder d morcgage
Atltl`ess oi assignee (numA � ---
�e����,�� T /99.Z
��„����� � Drawer \0... . ....
Card NO. .....-Jr...l-1.R�.f�-..... :oR
�_
1/ We certfy unAer the penalry of
axner / contracl buver ot ihe afor
the above e
property on
61.142-07
pelson (numberarndstrceLwy.sfale.
.�
Caunry
Is Ne DroPenY in Ouestion: Mnue�Y Assesud
i,+�'�eal RoPertY ❑ Armually Asussed
,a� ��
oa�e (�w�,m. ear. r��
��
❑ No
zo _
infortnalion is We and correct arW that the applirant is a resident of Indiana aM
ion is filed.