HomeMy WebLinkAboutMortgage_Nelson (2)d� o• STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNE� Count 7ownship Year
-e�= FOR DEDUCTION FROM ASSESSED VALUATION
S• Siate Pam E3709 (Ril / 6-09)
�� • Presr+iCeO by Department of Local Government Finance
File Mark
INSTRUCTIONS: JUL � �O
To 6e filed in person or by maiL Fonn rueE vrim:
Fifing Dales: 1) Real Property: Must be comple(etl antl tlated in fhe cafendar year tor which Me deduction�,s;pu ht. � Counry Auditor
Musf be filed with the CountyAuditor or County Recorder o/ the county where fhe piapert�-IS�Ib
on oi belore January 5 o7(he immediafely succeeding calendar yeac ❑ County Recorder
2) Mobile /Manulacfured Homes not assessed as Real Property: Musl file with !he CpypJxpqdi(Qr�o/��Y AU
county where fhe pmperty is bcated dunng the RveNe (12f months be;ore March 3Y8f'E�eh}�
deducfion is sought .
See 2verse side 70� additional inslruc(ions and qualilica[ions.
Appliwnt (owner w convad buyer - see resLiclions on reverse
Robert A. Nelson
Tazirg Ois�uct Key num0er! legal tlescrip6on RewrE number Pa9e num0er
Patoka 26-11-14-200-004.269-027 Pt NE 14-2-11 �
�csessed value W real prope .ry as ol Mortgage / Contracl in0ebleEness unpaiC as ol Mortgage / Contraa iMebtedness unpaid as of Is Ne applicam Ihe sole
mh 1, wrzent year MarM 1, wrtent year date of application legal or equiWble oxneR
243,000.00 S181,800.00 ❑� Yes ❑ No
I( no, whal is his / her e�ct snare of intereSO If owned wiN someone olher Nan spouse. inCicale wiN wfwm
If name on record is OiFerent than iha� ot apqiwnt indirate Celox: Is the v�operty in Question: Mnualy Assessee
Darrell G. Parker and Ma B. Pankake Parker 0 Real Properry ❑ Mnualy0.ssessed
ry � ) Mobile Home (IC 61.1-�
pagae or wnVact seller
Mortgage Corporation
]dress oF mortgagee or wntract seller (numberaMs:reet, ary. s:a[e, antl
8780 Greenboro Drive, Ste 500, McLean, VA 22102
Name of asvgnea or other owner
Adaress of asvgnee (numbei arM so-eeL ciry, sta:e.
Ooes appliwm own property in any oUer II yes. what counry? What Taxing Disvict? Has ihis EetlucUOn Oaen requestea on pmperty
counry in Intliana? for wrtent yeaR
n Yes n No ❑ Ye5 ❑ No