HomeMy WebLinkAboutMortgage_Foster (2)'°'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship vear
; FOR DEDUCTION FROM ASSESSED VALUATION
- State Fortn 43709 (R77 / 609)
�' Prrsaibed by Departmern of Loral Govemmenl Firance
i
INSTRUCTIONS: rtmNe�wnih
To be filed in person a by mail with the County Auditor or Counry Recorder o/ tAe county wAere the pioperty is located. F.Pt� i v J ' 2 Q� 2
F7irg Dates: 1� Real Property: Must file durrrg the year for which tha deduction is soughL Coun Auditor
2) Mo6de /Manufactured Homes rrot assessed as Real Property: Must file dunrg the tvrelve (12) monNs C,�❑-1�,,-,�� ry,
6efae March 37 0( eacA year the deduction is sought. u C\`rRy�Recorder
See /everse side for addiLOna/ instnictnons and quali�cafions. G IBSO
t(owirerormnfrd uyer - see resLirlfont m�averse side) .
� �
Tamg istriq KeY rnimber I kgal deSOiP� Recortl numDer Page num6al
� . �- - 9 - /o/-Doo. �iY-o �� I / /
As�se�.' �ahie U real {aapaty as W Mor�gage / Contracl indehtetlnvss unPaid as af Morigage I Contract mdeMedness un
MaW 1. amrnt yrar Mart�h 1, airtent year date of aGP�� P� as d I�i � t�
.I
If rro, what is h¢ / her exad share of interesi?
tl rw� on mrntl is dMgent Nan dat af aoo[
Eelmr
Name of mwigagee « mntract seller .!�%./
/_
� �'���iT
Pddress of rtprtgagee or conbaa seAer tnumbel and sLee4 Ufy: s+ate,
Name of assigrrea w other owner or hdCer ot rtprtgage
ACtlress f assgnee (number aM stree4 �1: s+ate. aM ZIP code)
�T N(J !9,_3-in
Oces applimnl oem property in any oNer If yes, what co
tounry in Intliana? r.-� . �.
DeEUClion apprrnreC "u� tlie amount of:
❑ Yes ❑ No
' awned wiN someone aher Man spouse, irMi�ate with wlrom
Is tt�e D�GQrtY in quesUOn: MnuaOy Ase55ed
❑ Real RoPertY Q Annually Assessed
�322 y �T�� N��
20 � 20 _ � 20 _ � 20 _ � 20
D� ati��er i\'p, - �
'� �%..
Cardi\'p... ��30 •....
— vl laQ�O00 . �j
20 20 I
Sigrewre ot ry/wditw Caunry Date (monrh. daY. Y��)
I/ We certify under ihe penalty of pe Ihat the abov d foregoing in(ortnatlon is We and correct and Na[ ihe applinnt is a resident of IrMiana aM
owner I canVaU buyer ot ihe a(orementioned prope date applitalion is filed.
Sigreture (ownerY hd reme) , Date (imW. daY. Y��1
full resitlent aCdress of applipnt (num0erantl sLae( dty, stata, and ZIP ootle)
N6.� E ►�1a.�.f:l'�M.� {t �l %�LtL�uli, �11 �l�
Person aWmrrsetl by tlily ezeai Power o( Attomey or by IC 61.1-12-0.7
Address o! author'¢ed person (num0er arM sUeet, crry. state. antl LP cotle)
Datc (mmlh. tlaY• Y��