HomeMy WebLinkAboutMortgage_Jones.+"^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS �. T ip Year
, - r
FOR DEDUCTION FROM ASSESSED VALUATION
State Fartn 43709 (RB! 2-07) ,
�' � fiesrnbed by Department a( Loral Govemmenl Firence
NN
file Mark
INSTRUCTIONS:
To 6e filed in person or by mail with fhe County Auditor of the county where fhe property is located. ��
fd'vig Dates: 1J Rea! Pmperty: Dunng the 12 months before June 11 d fhe year the deduc6on is to 6e elfective.
2) Mo6iie Homes assessed under IC 6-7.1 J: 8eh+een January 15 and Marclr 2 ot the year the deGa1804)l91g - DITOR
See reverse side fa additional insWCtions and qualifications. �
whal is h's ! her exad share
If name on record is
mortga9ee
see
� Key num6er / I�al desctif�� ReooN m�mDer P number
� � -�v -QO . 93-oa O�S � l `
of March i, arteM y�r Monga9e / Conirad inde6ledness unpaid as of Ma,ch 1, Is ihe appfimnt Ihe sale legal w equitade ame(l
°'°�`�` // S 93 °a
es ❑ No
at irMrest? If awried wiih sorrieane dher Ihan spauu. indple with whom.
moRgagee a mnUacl seller (numberand sGeef. dty.
assgnee a olher owner w hdder of matga9e
Address of assignee
Dces aPP�icard own
�� m �����
sheet, dty. stafe, aM ZIP mJe)
xoperty in any olher
❑Yes ❑ No
in Ne amwnt of:
I n1
Is Ihe properly in question:
�eal PropeAy O Mobile Home QC G1.
Dra�ver NO..�. �lj..-.�.�.�.�
Ifyes.whatwunry7 WhatTa�dn� Card NO. .....D�"'� �`.'t./,!�-' �Y
ll�,y3�,.� �No
COUNTYAUDROR
2p 20 _ 20
f,wnty
20 — � ZO —
day, yea�
1/ We certify under the penalty oi perjury ihat the above and foregoing infortnaGOn is true and mrreU and that the apptipnts was I were a resdent of
Indiana and owner of the aforert�entioned property m Marrh 1, 20 _
Person aulhaized by
by IC 61.742-.07
person (number aiW streel. �y. state,
� %'7���
Dale (month, day, yea�