HomeMy WebLinkAboutMortgage_Hoover"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Co wn r
_., _ FOR DEDUCTION FROM ASSESSED VALUATION
� � � State Fwm C3709 (R11 / 6-09) `
, f P�esaibeE M DePa�r�t ot Lxal Govemmem Frence
INSTRUCTIONS: O�I e Ma , q
U
Fwm (Jed wiM:
To 6e filed in person w by mai/ vriN the CountyAuditor or Counry Rewrder o( the county where fhe property is bcated.
Filmg Dafes: 1) Real Pmperty: Must file durirg the year for which Ute deduction is sought �p p,�di��
2) Mo6de / Manulactured Homes rwt assessed as Real Property Must file dunrg the tweNe (12) months i''S- ��
6efore March 31 ot each year the deducfion is soughG L}� Cour�Recorder
GIBS ��rni�nr.v a��n�Tnc
See reverse side 7a additional insLucfbns end qualificafions.
��vM1P^t (mmer ar cor,prart byms' �seg.¢stri�aau m reve+se sxle) , � .
s�ed �ralue of 2al PmPenY as of
arN 1, arrent year
rm. what k his I trer e�mrS share of u
name on remrG "s dA(umt Nan Iha'.
ame ot mMOaoee or cmtrdd seDer
._...__..._�_ _—_.._ -.
� • -!3 - o - O/. /!/-O � 6 00 Y�o
Mwtgage I Cantraa intlebcedness unpaid as of Mwtgage / Contraa'uWebteAness unpaiE as d Is Ne epp�ont Me sde
Memh 7, artent A, tlate of appliration legal or equitaNe ovme!!
/ L� �n(�V ❑ Yes ❑ No
NOwate bebv`
Mdress W �mt9agee or contract se0er (number and stree4 �Y. ffi+�, arW LP co0e
Name af �" �nee w ahel ovmer or twlder of rtqrtgage
AdCress oi assignee (number end streeG ray, state, arM z�P caae)
Oces applitant ovm pfoperty in a(ry other If yes. what munt�/?
munty m Intliana? ❑ Ye5
❑ No
�o�
Oe�utlion appmved in the amouN at
20 20 _ 20 20
Sig�LUa U Cotmfy AuOitw /� � .
I/Wec
owner/
Pe�son auNaaed Gy
If owned wiN samearre other tlan spouu, ind'xste with wlwm
Is Ihe pmperty in Question: MnuaOy Assessed
� Real Properly ❑ MnUally Assessed
vmair�� DI'811'�l' �'Q... �. .
9......
,�oROF c���d.=o.......y�7
� p �oa.n,o _ � W�,g15. �%
Qate (month. tlaY. Y��
ihe penalry of perj�that Ne above and foregoing infortnalion is We and corte<Y afM that Ne appGnnt is a resident of Irdiana arM
yer of Ne afwemerrtioned property on date appliplion is filed.
imel � i Date (manM, daY. Y�A
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sLeet. aty, state, and
sneot, firy, stale, aM ZIP code)