HomeMy WebLinkAboutMortgage_MassaroNn STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__, � FOR DEDUCTION FROM ASSESSED VALUATION
. . ' Sta[e Form C3709 (R71 / 6O9)
S PresaiDed by Departmenl of Lxal Govemrtrent F(ance
— "" a
�iTRUCTIONS:
To be ned in person or by mail with the CountyAuditor or County Recorder of the counry where the property is located. �
Fii'mg Dates: i) Real Property: Must fiIe dunng fhe year for which the deducfion is sought.
2) Mobde / Manufactured Homes rrot assessed as Real Property Musf fi!e dunng the fweNe (72) months C
6efore PAarch 31 0/ each year the deduclion is sought.
See reverse side tor additronal instrucdons end qualifications.
anrtram(ewnerormn7raC6uvY-searestncfionsanreverseside) A _
`T a�Lo�-� �� � - � y -
M�sesseE �alue cQ real PoP�Y asai �9e / Contrari u
Ma�U 1. a�eN Y�r I Ma 1. airtent yeer
II m. whel is his / her e�rt share of interesi?
If fwrie on rearE's Eifle2nt than that of aPp�an4 trdifate Eebw
of rm19a9ee or cantract se0er
s of mMga9ee a contract se0
M assg�ea W ather owner or 1
-ba/. _3 _ o
unpaid a W Mortgage / Con
�er and stree4 �RY. state. aM ZIP code)
mortgage
AGtlress of a�ig�ee (number aM atree; ray. state, ana ur ooae7
Y � �i- - /�
DOES 8�if211� OVrt� O�D�Y v1311Y OfIMf I( `JES. Wh3t
munryinlndiana? � Yes ❑ No
Deductlon app�oved'v� Ne amount o1:
20 2(1 _
$ig�tuee d/C7o�mb Auai
i. -
I/ We certify ulWer the penalry of rjury that
owner I contraa b�yer ot the atwementioned
Sgrewre wnefs Nu )
�
FWlresitlent olapptirant(num randstreet.
' �' �99 I.d sos �r,n�?�
r ��
What Te
couNrrnuon
20 _
wmeorie
�o
ss unpaid as of Is
�f
O Oe witl� wMm
unty Recorder
ITO�
Page numba
7�
�DP�^� the sde
r eQUitade ovme(d
❑ Yes ❑ No
is Me Oroperty in puestion: Mnualty ASSesseO
� Real RoPeM ❑ �^�Y �
Modle Fim�e (IC 61.
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Dra�ti�er i\'0... °2�� n
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CardNO....c�7%� _
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Dale (rtm�h. OaY.
e and toregoing infortnalion is W e and cortect and that Ne applinnt is a resident o( Indiana and
on date applicatlon is filed.
Date (monfh, daY. Y��)
rry, state, arM ZIP oode)
aY, �N �f"I l�
or by IC 61.742-0J
person (numbe�andsbee{cRy,sfa(e,