HomeMy WebLinkAboutMortgage_McNeeces°^n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION � ��
s�a F«m a3�os �Re i z-0»
�' � Presmbed br DepeMrent o( �aral covemmem Firenca
INSTRUCTIONS:
MAYFi�e Ma2009
To be filed in person or by mad with the Cou�MyAuditor o/ fhe courtty where the propeAy is bceted.
Fding Dates: i) Real Property: During the 12 months before June 11 d tAe yrear the deduction is to be ef/ective.
2j Mobi7e Homes assessed �mder IC G1.1-7: BeAwen January 15 end March 2 of the yea� U�e deductim is to '�
See reverse side 7or additional insWctions and quali(xations.
N N VA
Appic�arrt (o conUad buyei- 1 reverse sde) r n
OA �O✓� e� nAAAA F^ M� l.l nA �..
a -1=�` =�io' 000.
real propaty as af Maich 1. a�t Y�r Mortga9e / Cor
arterrt yeer
is h's / her exacl shara of ii
rec«d is dAie,eM Uwi Na
ortaacee arconUacl sdlet
as or n�afai 1, �s Ihe appfifant uie sde �egal « equiwwe owne/
❑Yes ❑No
ieresl? � II o�ned wilh sortieone other Ihan spouse. intlicate wilh whom.
of appiicarri, indcate helow: Is Ihe poperly in quastlm:
_ O Real Property ❑ Modle Home QC b1.1-7)
� AdEraas of moAgagee m m�Uad seller (numberaM stree4
� Name af assignee a�ha oaner a
AdAras ot assignee (lxrtMer eM sfieet. dty. sfafe, and LP mde)
Does applicaM wm property in arry olhm If yes. what
courity in Indara?
❑ves ❑ No
Deduction aPVmved "m ihe amaW
��1���'J
� �1l_S
'rnde)
COUNTY
�
i
Has Uus EeOUCtion been reques�eC on property
for artart yeaR -
❑ Yes ❑ No
20 20
sy�,�a or ca,n+r a,dm� c�nv o� (mu�u,, my, rea�
I/ We certfy under fhe penally of pe�ury that the above and foregoing infomiation is W e and cortect and ihal ihe appGnnts was I were a resident of
Indana and o er of Ne aforementioned roperty on March 1, 20
\�%�e (� Y _Gr�nsrnei,� n/7 r . / � //'O . oate (monm. dar r��l
Address of eutM¢ed persm
Pwrer
y
city, s(,ye.�ntl LP code) [ ) _
J '
� L.% l%\�./
� w hy IC 61.142-.07
aM LP code)
Oale (mmth, day,