HomeMy WebLinkAboutMortgage_Parker°"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
s�e Fo� �a�as (rea i z-0»
S � Presmbed by Departmenl of Local Govertvnent firenca
NM
File Mark
INSTRUCTIONS:
roeafiiae�����way�aWrtnmaco��rya�,e�.d�ne��myWna�u�aP��,ry�sw�r�d. APR 2 0•2009
Fd'mg Dates: 1J Real Property: Dunng the 72 monMs be/ore June 11 W the year the deduction is to be eJfec6ve.
2) Mobile Hpnes assessed under IC G7.1-7: BeMcen January 15 and March 2 0/ tlre year Ne deduction is to be.e��ltive.
See reverse side fa additional inshySctions and quaGfications. 0 p.1 ��
value o(leal G�V�Y as d MarCh
I is his / har ezact share of iMere
�artga9ee
of mo�igagee or mnUad saller (num6er aM
Nama of assig�e a alhar wmer w hdder
�parry in erry dher
❑ Yes ❑ Na
SIdB)
%��� U(/ ' U�i �� �/'il0 7— U�
Martga9e / CorNatt intlebledness unpaid as of Marrh 1
a�rreNY� , n /] _
someone
If yes. what counl� I What Te�dng D'aUicll
...!:�
�UmbM
Is the appGCent Ihe sde legal u equitaWe wrtieYl
❑Yes ❑No
�e proparty in questim:
Real Ptoperty ❑ Modle Fbme
Has Uris dedudbn been requestetl on qopeM1y
r«a,r.en�yyean �
❑Yes ❑No
COUNTYAUDROR
DeducUOn appmved in �he amwnl of:
20 20 20 20 20 20 20
SignaWreof nryAudilor Counh Dale(ironth.day,Yea�
I I We certify under the penally of perjury that the above and foregoing infortnation is We and corred and tlwt tlie appGnnts was / were a resident of
Indiana and owner of the aforementimed property m March 1, 20
SigraWre (owne/slWlnartre) Da1e (monfh. daY Y��
� itlenl address ot applicard (num6ei snd s6eet. aty. sfate. end LP mde)
Parson aulhor¢ed by du y ezewted Power of Altomey a by IC 61.1-12-.07 Oale (mmN, day, yea�
Address of autlnr¢ed persm (number and s4eet �'dy, state, an0 LP code)