HomeMy WebLinkAboutMortgage_Blankenberger (2)dn STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VAI.UATION
Sfate Fartn C3709 (R8 / 2-07)
�' u„ � Prasrnbed by Departmenl of lo�l Govemmerq Finance
INSTRUCTIONS:
To be (iled in person or 6y med wdh the ComAyAudRor o! the courtty where fhe propeAy is located.
Fding Dates: i) Real Roperty: Dunng the 72 months be%re June 17 d the year the dedu�ction is to be elfecfive. ��pn
2) Mobile Homes assessed under IC E7.7-7: Behveen January 15 and MaicA 2 o/�e year tfre deduction is tE�6e�ER�li�e.2009
See raverse side /ar additional instructions ard qualifications.
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Key nu bet/ e d�sviplon
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airterrt year
;/ her eract share af iMeresl7
rd is dAfaent than that of applicarit, i�nte below
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Address of mortgagee a contrad u
Name of as9g�e d dl�u orner a
shes4 dty. stafe. ad
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ess unptid as d Mard� 1
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If owned wM sort�ame o
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❑Yes ❑ No
smuse. 'cdicate with wMm.
Is Ihe praperty in queSUm:
❑ Real PropeAy ❑ Modle Home
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