HomeMy WebLinkAboutMortgage_Parker (3)°�+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
s�ace Fam na�o9 (Fte r z-0»
�' ,.,. J Pr�mbed by Dapartmenl of Local Govemmelri Finance
� 'le M
MSTRUCTIONS: d--1 �
To be filed in person or by med with tlre CourttyAudifor ol the county where fhe property is located.
Fa'vig Dates: 1 J Real Pmperty: Dunng the 72 monMs be%re June 7t W fhe year the deducGOn is to be e/Iec6ve. ��T ��'' nn�
2) Mobile Hanes assessed under IC 61.7-7: Behveen January 15 ar�d March 2 0! the year tfie deduc6UY4W to e AEC�M
See reverse side /a addlional instructions arnd qualficafions. �
Key num6er! legal desaiption
ot real poperty as d Mardi 1. arteM year
is diRereN Ihan Ihat of applican4 indimte bGom.
3�3'0 0 � . 35�'—a�.C�
,������s�,��a��,,. �_�
N�o,��a,�=�� S13
Address of mor�qa9ee « mnirad sdler (number aiM �eet aty. state. aiM ZlP cnde)
a aner v�ner « nade� ar monvage
AdEress of azv9nee (rnm6m arM streel. dty. 9ate. and
Dces epplicanl axn prapeM1y in arry athm
cawLLy in Indiana?
❑ Yes ❑ No
Deduction apprwed in Ue arlrouM oF.
�� �_
of nryAU r
I lWe ce�fy unde th penalty of
Indiana and owner f e afweme
Sigraiur o e/: hdl nartre)
\�denl addr ot epqirarnG ( ��
Reoora ru,m(� I P�
��_ ._—_—'_____ —
If� 1'1 n v-. � 1 1 a
' w-1 l
— �' �IJ�-.+ ! � )
- P�.�� � �
If�es,whatcouMy? WI
couNrrnu
� �
Co
! Uie above and foregoing infortrwfi�
�perty on March 1. 20
9
cdy; sVate, aM ZIP mde)
`N lG% �/, �v/�iTeti�
Pamn aulha¢ed by Auy ezewted Pwver oFAttariey w by IC 61.1-12-.07
Address of aulhor¢ed pason (nw»Ner ard streeC �tiy, sfafe, aM LP oode)
��.-�, �V , ��
� �y, �00 . °° -
�ac�o�-51�y
or eq�nude awnen
❑Yes ❑ No
J1112
n property
❑ No
0
;idenl Of