HomeMy WebLinkAboutMortgage_Wright (2)"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Cou rownsnip vear
, FOR DEDUCTION FROM ASSESSED VALUATION
State Fwm 43709 (R71 / 6-09)
� � Presbibed Dy �epaMieM o( Lncal Gwemment Fnance
File Mark
INSTRUCTIONS:
To be lr7ed in person a by mail wiN the CountyAudi[or or Counry Reoorder ol the counry where the properry is located.
Fifing Dates: 1) Real PropeRy: Must file durMg Ihe yrearlor which the deduc[ion is sought.
2) Mobde / Manulactured Homes rrot assesced as Real Pmperty Must file dudrg the hveNe (12) months
6efwe March 31 of each year the deduclion is soughi.
See reverse side lor additanal instruclions and q�alificatrons. �
ADO��� (aJ�A dcon7raU bNTS' aP? � reverse sdP) /, .
�.�� �m '
MarN 1. wrnn ym
tt no, what is his / hu uarl snare oi intrlest?
II name m rem�d'a 6`e2nt Nan Ihat of app6m
Name m mortga�ee ar m,o-act seue. n
�� Q3oa- oo�.�
�. / CAntreCt "uNebtedne55 unpaiE as of
artent yrar
o( rtprtgagee or mntrad se0er (n� and sheet uty. s��a.
of as9gnee or a'her owner m twlder of mortgage
AEEass of assignae
�'
It Wmetl wittf
�i
Counry Audrtor
o�o �o ��/�a
dness unpaid as of Is Ne apyirant Me sale
,�7�� legal «epuitade o�mM
am
(/ UU ❑ Yes ❑ No
zAe.'udicate wRh whan
Is O�PQnY in Ouestion: Mnuaoy Pssessetl
Real Roperty ❑ ArmuallyASSessed
IDaes ePditaM own WoPenY in any dher I If yes. what counp? I Whal Tann9 D'¢trict? I Has U�is OeAUCtim Deen 29uestetl m V�Y I
counry in Ind'ana? (� Yes ❑ No � w�, �ar ❑ Yes ❑ No