HomeMy WebLinkAboutMortgage_Rister.+^•na STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
.°i � : FOR DEDUCTION FROM ASSESSED VALUATION
S�' �� State Fwm a3709 (Rit / 6-09)
•�'��' PreSCnCed by Department ot Lofal Government Finance I
Fi I ark .
.�+STRUCTIONS:
To be filed in person or 6y mail. O� Fotm e4 y���
Filing Dates: i) Real Property: Musl be completed and dated in Ihe calendar year tor which Ihe deduction is soughf. 2 � ZU ounty Auditor
Must be filed with fhe CountyAudifor or Counry Recorder o/ the county where fhe property is located
on or be/ore January 5 o/fhe immediafely succeeding calendar yeac C unty Recorder
2/ Mobile / Mawfacfured Homes not assessed as Real Property: Musl file with (he County Audilor o1 fhe
counry where the property is /ocated dunng the fweNe (72) months befo�e March 37 0! each year the
deduction is sougbt (:IRSCIN CnI1NTV ALIDITOR
$ee reverse side !or additional inshucfions and qualifications.
Applicanl (owner or conLacf buyer - see resLicfions on 2verse side)
David Rister and Tricia Rister
Ta�dng Dislnct Key numEer / legal EescnpGon Rewrtl numCer Page numDer
Patoka 26-12-15100-000.402-027 PT NW 15 2 10 2.246 AC C-t � 5 �
4ssessed rdNe W real properry as o( MoRgage / ConVad indeWeGness unpaid as ol Mortgaqe I ConNaG indebtedness unpaid as ot I5 Ihe applicant �he sde
arth 1. artenl year March 1, wrrent year date ot apd���b� legal w equitaWe awneR
5130,800 582,000 585,300 � Yes ❑ No
If no, whal is �is / her e�d share of interest? I� owneC wiN someone oNer Nan spouse, intlicate wiN whom
If name on remrE is EiFerent Nan that of applicant, indiwte bekv.: Is lhe pmperty in queSGOn: Mnually AssesseE
❑� Real Property ❑ MnuallyAssessed
Mobile Home pC 61.1-7)
Name of mortga9ee w conVad seller
David K. Rister and Tricia L. Rister
Address ol mortgagee or tontract seller (number and straef, ury. 51ate, antl ZIP crode)
2779 E. Top Hat Road, Princeton, IN 47670
Name ol assignee or oNer owner or hdder of �mrt9age
Adtlress of assignee (numDe� and sneef. ciry. slate. end ZlPCode)
s appliwnt own DroDerty in any oNer If yes, what coun.ry? What Tazing Distnct? Has lhis tleCUCtion Eaen requesteE rn pmperty
..wnry in InAiana? for curtenl yeaR
❑ Yes ❑ No ❑ Yes ❑ No