HomeMy WebLinkAboutMortgage_Farmer°'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (RB! 2-07) � � �
�� � Aesc3ed bY De7anmeN of Lod Go�emmerrt Firanca
File Mark
wsrnucnoNS: APR 0 S 2009
To be filed in person w by mad with fhe CourrtyAudikr W the courrty where the pioperty is bcated.
Fding Dates: 1 f Real Roperty: Dunng the 12 months be/are June 17 W the year Ure deduction is to be e/fective.
2J Mo6iie Hames assessed urtder lC 6-1.1-7: Behveen January 15 end March 2 of Me year Me deduc6on is fe�y�,e� 'v,q.9 �
See reverse side la edditional insWcGons a'd qualilxations. O'� �' ��%
f.T.:*.%/r.^. �?r.7±s
ricl � . Key numb� I legal description � � Reoord number Paga number
-/9- -2-a�-���.lsa-oa.5 �009 /S2-`�
alue or real aw�r as of Marai 1. anern r�r Mongaqe � co�traa u,demedness �mpaitl as or March 1. �s the app5�,f u�e sde �agal w equi�ade wmen
arterl Year / � /'
❑Yes ❑No
is his / har exacl share of irilerest? If owned wRh someu�e atMr lhan spouse, indiute with whom.
natlgagee or conlrxl seller �
of mor�gagee or ooniratl sellar (MUrlbef arM StreBG � State. e!M i
Name of asvgnee a dher awnar m hdder of mortgage
Addrass oi assignee (rnan6er aiM s6eef. dIY, sdfe. aid
OoeS aPplicaM o.m properry in arry olhat
cauMy m Ind�anaT
❑Yes ❑ No
DeducUOn app�v+ed in ihe amwN of:
20 f19 20
I/ We certify un�¢r the penairy ot
Indiana and owi�er of ihe aTwemf
�raWre (owne/s hdineme)
� -i��2�
�adent addr s ot appi�arac(numd
�� ��U ` 7 �
rson aulhm¢ed W duN esewtetl Pow
ZIP mAe)
u yes, wna� ca�iyr
20
COUNTYAUDROR
0
��i
Is Ihe {uopeM1y in quaslior�
❑. Real P�operty ❑ Modle Home
�aoo�_� 5a�
`�i � C��� � � �J. � —
_ c/y-�'J�l7'�'w',�
20 ���
1�
that the above and foregoing infortnation is true and
DroDertY on March 1, 2p _
Address of aulhoraed persm (nwnber and s6eet.
or by IC
and ZIP oode)
S+� �����
1-7)