HomeMy WebLinkAboutMortgage_Snyder"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
__ , FOR DEDUCTION FROM ASSESSED VALUATION
n State Fotm G3709 (R71 / 609)
� u�. PreuriEed by Oepartrt�eN of Local Govemmerd Fu�ance
File Mark
wsrRUCnoNS:
�
To 6e filed in person w by mail with the Counry Auditw os Counry Recorder o/ fhe counry where the property is located.
Filirg Dates: 1) Real Pmperty: Must file dun� fhe year /or which the deduclion is soughG n County Auditor
2) Mo6ile /ManufaUUred Hortres rrot asscssed as Real Property: Must file dunng the fweNe (12J months �
6efae March 31 of each yeer the deduction is mught k..i. Re�nrdu
7
Seemverseside7oraddrfionalinstructbnsandqua/dications. r_�aShN COUNTY A
As� vdue o( real P�P�Y ��
Mamh 1. a�t S�t
her e�act share ot interest7
.:�
M mMBa9ee ar cmttxl seDer
AGdress of rtartgagee ar cantraG se0er (number end sbeeG u1Y• smte.
Name af assignee w oNni owner or hdder af mMgage
Does appfirent am pmperty in any otner
munty in IrMi2na? r
❑ Yes t
DCduCtiOn apywcd'ui Ne amounl of:
zo �
syree,re d ca�,n a�d�w�
- bo d . b8 (-t�2� I�b�
4drbteErress unP� as N Mangage / ContrarY iMe6tedriess unOaiE as
LA� Eate of aPP��
smte, an0 Z1P tntle)
i�o -�o..��D�.......
D �';l\\'Cl l
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— Card ��. .... .
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Yes LI No
Is C�e P�OenY in quesUOn: MnuaDy MusuE
❑ Rea� Ropertr ❑ ianiuiaM ose�d
� �� ���
tor wrtent year?
�_
��,,,�.�,. �Y ��
a+v�vem
❑ No
,��
I I We cer�fy und Ne penalry of perjury that the above ard toregoing intomiation is true and carect and that Me applicant is a residertt of Indiana aM
ov�er I contra�yer of the afaemeirtioned property�!(date applicatlon is filed.
�hue 1� (W.nam�L-- � Date (monM. EaY. Yae�)
Cy IC 61.142-07
Pddress of auNa¢sd pnrsa� (number aM sveet uN, slsfa,
Y��)