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Mortgage_Rogers
r1 �J �, �J — ~ Evansv� i Ile �'i�les � d-^ ^^•a STATEMEIvT OF MORTGAGE OR CONTRACT IIVDEBTE�NESS ��FOR DE�LICTION FROM ASSESSED VALl1ATI0Iv State Forrti 43709 (ft77 / 6-09) � � � PfescrlbedbyDepartmentotlaWGovam�nenlFlnance IN57RUC770NS: � Coun To•,vnshl�� - _ FI — e Mark To be Rledln person orbyma0. � Hling Dates: i) RealPioperty Musf be complefed and datedln (he calendafyearfofw6ich (7�e deduc((on'fs so �� � � Mus(befiledwlththaCountyAuditororGountyRecorde�offhecountyWherefhepropertyls)o (ed �' � �� ono�be(oreJanuary5offhelmmetllatelysuaeedingcafenda�yeal. _ �°RtYA�itor ' � 2) Mohde /Manuhctured Homes no( a:sessed�es Pea! Property; Must h7e w1(h (he Countyquditor of (he COp°� ReOO�� . county whe2 the propertyfs /ocafeddurfng (he hvelve (i2J months beFore Mazh 3iaf each yea��e�JQ �� deducGon is soughl. �i �� See leveree sfde (or addf(lonall��n,��n,.,,.. �..a �.._.:�__,�_ __ � _