HomeMy WebLinkAboutMortgage_Meadows"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownshi r
__ = FOR DEDUCTION FROM ASSESSED VALUATION
~ Stata Fortn 03709 (R11 / 6-09)
S � Presaibed by Depanmerd af Loml CmvemmeM Firence
file Mark
INSTRUCTIONS: - F^ � n� J
To be filed in person or by mail wiM the CountyAuditor o� County Recorder of the wunty whele the propelfy is located.
Filirg Dates: i) Real Pmperty: Must file tlurirg the year for which [he deduction is sought `� County Audimr
2) Mo6Ae / Manufacfured Homes rrot assessed as Real Property: Must f+le d�ring the twelve (12) monfhs j/!
be/ore March 31 oteach yEar the deduction is sought. '�1 G ���
See reverse side Jor addifional instmUbns and qualifications. _ 1 GIBSON ^
o� �� � a� �� aa y ao�aoa 9�
M
eC vahie d real pnperty as d Mor�gage / Contraa rcWehteEn�s unpaid az of
1. MPSt ytlr Martii 7, wrtem yeer
It no. what's his / hu eza�Y share oi interest?
If rume m femN s QRemnt ihan that N appOpni, uidi�ata Oebw
ar mno-aa
rtiortgagce or mntratl
w olhu owner or holder M mort�age
ray, 9ate, aM LP code)
ACCress of assignm (number end sheeS mY. s+ate, and LP code)
Dces appliv�rt avn property in any oNet
couNy m Ind'au? � _ _
amount
20 � 20
tqage / Con� intlebteEness unpaiC as ol Is Ne app�nt the sde
�. af appG�afion legal or epuibde axne(.�
❑ Yes ❑ No
someofre othm than spause. Ir�drcate wttA whom
15 tlu D�PertY in 7uestion: MrvaOy Assctsed
�.RC21 PfoPerty ❑ %1!mually Assessed . _
If yes. what munry/t I What Taring Distri
COUNTY AUDITOR
20 20 20
Counry
i�A,Opws (�}QO,. LlAy�c
�EE /i,t���.
0�� d�35 i
�
�Y. Y��
20 _
I I We certify under ihe penalry of perjury Ihal Ne above and (oregoing infortnalion is We and cortect arW Nat the applinnt is a resident o( Indiana and
owner I contracl buyer ot Ne atoremenlioned property on date appiication is filed.
state,
Date (manfh. Efi:
AtlCress ot a Wwri¢ed pert,on (number aM sbaef, cky, sbte. and LP oode)