HomeMy WebLinkAboutMortgage_Munro"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tovmship Year
:. —..
� FOR DEDUCTION FROM ASSESSED VALUATION
� Slate Fortn 43709 (R71 / 6-09)
�' �.w � Presaibetl hy Department of Laal Govemment Financa
i e Mark
INSTRUCT70NS:
To be filed in person or 6y mail wiN the Co�ntyAudito� or Counry Recorder o/ the wunty where the property is located. F
Fitirg Dates: 1) Real Property: Must file during the year for which the deduction is soughL n C di r
2) Mo6de /Manufactured Homes rwt assessed as Real Property.� Must fiIe dunng the fwelve (12) months 6�� ryQ'u'�
be(ore March 37 0l each year the Ceduclion is saght �u� �!
See reverse side 7or addrtional instrucGons and quali�ications. ON COUN
npp6ont (owrie� ormwau buye�'se�i sfi�°ils9^ rererse sitle) i, n/1
����
Ma�d11, tlmenl year
If rm, what Is his / Mr era�Y share
remtl is tliftrlen� Nan ihat W aDP��C �dinte Gelow.
Name of rmtgagee or mnvaU se0er
Address of mutgagee or wntraG se0u (num
Name of assignee or oihu wmer or halder of
Mtlress of assiqnee (num6er antl stree4 ab:
Does epplipnt am poperty in any oUer
counry in Indana? �
❑ Yes
Deductian avo�oved in Ne amount of.
20
I I We
owner
�
state.
►a• I �6 -Da�l
unpaid az N Mongage I CantraU hWebtedness
aU
Eate of appfnation
someone oNer than spouse,
�;����� ' 1 •
Drawer NO..��! .•.......
c���a �t .'��3.�.0 ....
� rBaaCb. �.
2q � 20 � 20
as d Is Ihe app0�ant Me sole
legal or equitade mme(i
❑ Yes ❑ No
wtth whom
Is Ne property in Question: MnuaM Pssessed
❑ Real Property Q Mnualy ASSessed
Nas Viis Aeduc�ion Deen re9uested m pmpaty
fw artent yea(.�
❑ Yes ❑ No
20 I 20
er Ne penalry of perjury that the above and toregoing intortnation is true and cortect arM ihat the applicant is a resident of IMiana arM
buyer of the afixementioned property on date apP����n is filed.
Person auNOrized Dy duy exewted Power o( Attorney or Ey IC
person (numbe� antl stree4 �+N. s+a�e,
Oate (monN, tlay, yea�
.C.