HomeMy WebLinkAboutMortgage_Robb (7)"`� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
. FOR DEDUCTION FROM ASSESSED VALUATION
• Sfate Fwm 43709 (R71 / 6-09)
�' � Presuibed by DepartmeM of Local Cavemment Firence -
INSTRUCTIONS:
To 6e filed in person w by maii wiN the CounryAWitor or Counry RecoNer o! the county where the property is located.
FiNng Dates: i) Real Property: Must fi!e dunng the year /or which the tletluclion is sought.
2J Mo6�7e /Manulacfured Hortres rwt assessed as Real Prope/1y: M,xst h7e dunng tAe twelve (72) months
6etore March 31 of each year Ne deduclion is sayht.
See reverse siCe for addifionaf instrvctions and quelifications.
110.
01111}Pl¢SL?
�i��sr-orc
airtent yair
11 tWre an Rcwd "s N1fu�1 tlNn lhat Of 20P��L W'xate bebW.
Name ot rtqrtgag� or mnvact sellu
neares m mortyayee «ca,o-aa
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smte.
(numDer am sueet �1: sm�e. ana ur 000e�
Daes ePpli�nt wm WoP�Y in any other
oounty in Intliana? I"I .,_ _
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Form Ned with:
PR� ��Quditnr
. ❑ Counry Recorder
r.�
1 as W MMgage / Con4aC LiEehtedrress unPaid as of b Ne epp8rant Ne sda
date af appfKabon /y1 �W � kgal a equltable awneR
�L.C/, E,t�v ❑ Yes ❑ No
If wmed vrith someo�m aher Ihan sPo�. indrate wtrh wtom
What Tamg
Is Ne propucy in Ouestlon M�weDy Assused
❑ Real Property Q MrwaOY Assessed
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No