HomeMy WebLinkAboutMortgage_Roeders°•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
SIa1e Farm 43709 (RB / 2-07) _ .
S 1 Presa�bed by Oepartmenl of local Govemment Finance
INSTRUCTIONS: I
To be filed in person or bymad wifh the CountyAuditor o/the couirty whe2 tha properfy is located. JUN g O 2008
Fding Dates: 1J Real Property: Dunng the 12 months befwe June 17 0/ fhe year lhe deduttion is to be eHective.
2) Mobiie Homes assessed under lC 6-1J-7: Behveen January 15 and March 2 0/ fhe yea� the deduc6on is t 6e eflective.
See reverse side for addiGOnal ins6uctions ard qualifications. �� ��
�Ye/
hsested vdue d real P�P�Y u
side)
✓ ' V
� Y� �9e / ConllaG udebtetlness unPaid
arrentyear , _ �n .
share ot irnerest?
If reme on recwd is diHetenl Ihan Ihal
Name of
AAdre55 0( rtwM1gagee ar Conl2tl
asvgnee a olher owner rn holder o1 mMga9e
Adtlress of as9grree (inmiber arM sLee;
Dces applicanl ovm property In any oU�er
county in Indana7
❑Yes ❑ No
Oeductbn apprwed in Ihe amount of:
20
Signawre of CaunryAUdMr
�
dty, state, arM
March 1.
number
appfirant u,e sae �egal «eGuitaae wrt�eR
❑Yes ❑No
someone other lhan spouse, indicate with whom.
�
Is Ihe property in quesUOn:
❑ Real Pmperty ❑ Mobile Hwne pC G7.1-7)
ZIP wde) � l�J� .. . . .. . . . ..
: Dr���'cr \��� �
If yes, whal counry? • �� quested on property.
" C�CCi\Q...•1j1TD1�'� ❑Yes ❑No
��("�� SI
COUNTY� . C.u•
2p _ I 20 _ I 20
counry
20
tlay, year)
20
I I We certi(y under the penalry of perjury ihat the above and foregoing infomation is true and corteG and thal Ne applic�ants was I were a resident of
Indiana and owner of the atorementioned propeRy on March 1, 2b
�naLUe (owne/s /ull name) Date (mmth. JaY Y��)
ident address of applicant �(n^umbei /a��M streel. dty, sfate. and LP mtle)
� .S L/C� /_ /""'%- Q�un t� �y y i
aulhaaed bY duN ���� Pawer of P1lnney d by IC 61.1-12-.07
ofaWqr¢edpersan (numberarMsfree;
Oate (mmlh, day, yeaq