HomeMy WebLinkAboutMortgage_Schmidt"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS un Township Year
_ � FOR DEDUCTION FROM ASSESSED VALUATION
• Stata Form C3709IR11 / 6-09)
S,,,, arnsaioee by oevartmaN ot Lo� Govemmem Fu�arce
File Mark
wsrRUCnoNS: A P f
b 6e ned in person w by mad with fhe Counry Auditor w Counry Reoorder of the county where the property is located.
Filing Dates: 7J Real Property Must file dunrg Ne yrear for which fhe tleduction is wught.
2) Mo6ile / Manufectured Homes rat assessed as Real Property: Mus! file dunng the hveNe (72) month�
6efore March 37 0! each year the Ceduction is sought '
See reve a side for additional insuuclions and qualificateons. GIBSON C
AppG�a or mntraC bN'�' Jee Bsfic�ns on reverse sitle) 1 .�
y rxxn6a / legal desaf0tion I
� � O� O • •
Mortpage I Contraa indebteOness unpaid az d
Atgm}i 1. artent year
snara of ininlest?
m �emtd'a C'itterent than ihat dapp6cant, Intlirate
Name of mortgagee ar mntrarl seller
pddr�ss of mortgageE or mntraa srder (
Name N asvgnee a oNn owner w hald
Pderess ol assignee (rwmDer erd slreet
Dces ePpli�arLL um pmpeM1y in any aher
munry v� indana? ❑ Ye5
DeCucOOn apyoved'v� tt�e amount ot
mmher end sheeC �dy, s
er of mortgage
rdy, slate. enE ZIP ootle)
2�_ I �
»nae d Coimb nuartor
I I We certify urWer ihe penalry of perju
owner I contrad buyer of Ne afaem�.P
' ' _Cf
Schm�d�
C ��`�
T2f("a
PW,..V/Va
DistriC?
INTY AUDROR
dolo - i � v� -
�d�,��i
Counry Auditor
6punty Recorder
as d Is the epp8ranl the sde
legal a equitaNe mme//
❑ Yes ❑ No
spouse, md�te wqh whnn
IS I�IE Pf0p2lIY 1I1 QIICSbM: iV1f1U8�`f ilS52S5Cd
❑ Real Property ❑ ArmuaDy AssesSed
Has V�o tletluaion Oeen 29u�ted m property
� ��� �n ❑ Yes ❑ No
� �
DaN,�th. day Y�/)
ecl and that the applirant is a resident of Indiare and
��
oa� (�rn, dar. rea�
Pgson auUai¢ed Gy CWy exewteE Po+er ot Attomey rn Dy IC 67.7-12-0.7 �.I ��
Pddress af aWw�rsed persm (numDer aM sbeef, dry, sfate. and LP ootle) .