HomeMy WebLinkAboutMortgage_Schurmeier"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ + FOR DEDUCTION FROM ASSESSED VALUATION ���
• Sfata Fortn d3709 (R77 / 6-09)
1 ` Presmbed by DepartmeM of Loral GwemmeM Fuance
File Mark
INSTRUCTIONS: n'�
To be filed in person or by mail with Ne CounryAuditor or Counry Recwde� of Ne county where ��opmryis aicst�d. F� �� ��
Filiny Dates: f) Real Property: Must file during fhe year fir which the deduction is soughG � County Auditor
2J Mobile / Manufactured Homes nof assessed as Real Property Must file dunng the.tweHe (72 months
before March 37 0/ each year the deduction is sought �� /fs-y ❑ County Recorder
See reversa side tor additional insWClions and qualifications. (/
I N NTY A DITOR
j Appfrant (oy'ner w con12C Duyer- s�e reslnrbons_on iaverse sirle) r. � �
'�- 1',�.^.0
Mor(qage/ Contraa indehteCness unpaitl as
Marth t, arrent yeer
It ro. what's ha / Icer exaG share of interesi?
If rurtie m remN s dfier�t ihan Nat of app6�n; 6W¢
Name ot rtuutgagee or mntrap uUer
Address of rtwyagee w conbaG seDer (numbrJ a sb
Name of assignee w athu ovmer or holEU M rtqrtgage
AAtlress of assigriee (num0er eM streef, My, state, and
Oces epplicanl own pmperty in any oNer
munry in Ind'ana7 �.. �..
smte. anC ZIP code)
counq? � VJhat Taring Distnrl?
legal a eN+RaNe ownef?
Yes �J No
with hinrn
LS CIC PlOP2ij� Ifl V116MIf1: AfIf1113�Y ASSC552d
❑ Real ProPeAY ❑ Armua�y Assessed
Na deductim Eren reGUesteE m proprlty
urrent yeaR r-i .. r-i