HomeMy WebLinkAboutMortgage_Norris (2)�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Cou Townshi r
;�� FOR DEDUCTION FROM ASSESSED VALUATION
S, Sata Fwm a3709 (RN / 6-09)
�� • Presai�ed by DeDartment of Loral Govemmenl Finance
File Mark
INSTRUCTIONS:
To be filetl in person or by mail. ortn il .
Filing Dates: 7) Real Property: Mus( be completed and dafed in the calendar yeai (or which fhe deduction is soughf. 7
Must be �led wifh fhe County Audifo� or Counry Recorder o/ the county where (he property is located C.��L�ditor
on or belore January 5 of fhe immediately succeeding calendar yeac ❑ Co� g,t corder
2) Mobile /Manufactured Homes nof assassed as Real Property: Musi file wi(h the CounryAUdrtor o1 fheG IBS
counry where fhe property is located dunng the fweNe (72) months be/ore March 37 0/ each year the
deduc6on is sought.
See reverse sida ta addifional insbuctions and qualifications.
Applicant (owner a conlydct buyer - see restrictmns on.raverse sn
Robert J Norris II & Amy L Norris, husband & wife
Mart�h 1, cueran year
It no, what is his / �er ezaG share of interest?
r/IegalCescnPlion ^ � _l�" 1..+IIL
��¢_�,� c��, � t..�y
Mortgage I ConVact inEebtedness unpaid as ot Mortgage / Con
March 1. wrrent year date ot appli�al
32000.00
It ownetl wiN umeone o
If nama on rewrtl is GiHerent Ihan t�at of appllwnt, intllcate bebvr.
Name of mortgagee ar convact se0er
Heritage Federal Credit Union
AEEress of mortgagee or conUad u0er (number aM 5t2el. city, v
► 5323 � �ld .S� Qci. (n (n
Jam�gnee or oiher ovmer or hoMer o� morlga9e
Address of assgnee (number and street. dry, sia:e. and ZIP cade)
Dces apd��^� �'^ D�PenY i^ any oNer If yes. whs
legal or aquitaWe ovmer7
Q Yes ❑ No
spouse, intlicate wi;h wnom
Is the pmperty in question: MnuaOy Assessed
�❑ Real Propeny ❑ Mnualty Pssessed
y—�c�2�i
been reques:eG on property
I munry in IMiana7 � Yes ❑ NO mr cunem yearr
� I ❑ Yes ❑ No