HomeMy WebLinkAboutMortgage_Farrar"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
�_ , FOR DEDUCTION FROM ASSESSED VALUATION
State Fwm 43709 (R71 / 6-09j
,' ,,,. � Presaibea M��� w Loml covemment Fuance
WSTRUCTIONS: � �
To be filed in person w by mail with Ihe CountyAudifor or Counry Recnrder o7 the tounty where the property is bcated.
Filing Dates: 7J Real Properry: Must file dunrg the year for which the deductbn is sought.
2) Mo6ile / Manulactured Homes not assessed as Real Property Must fi7e dunng the hvelve (12) mont� V
6efore MarcA 37 of each year the deducfion is soughf.
See
�G iMebtetln�s unpaid as al
of rtnrtga9ec a contrac3 setler ���
a of mortga9ee or mntrad seller (numbu and sbeet, city, state. aM
m��w
srete,
limnt v.m property in any
Indiana? r-i
No
Deductim appmveE in Ure amount of:
�� �. �� W��
Record number
Auditor
Recorder
I date of 2PP��+ I� a eWilaNe amef!
❑ Yes ❑ No
If owned wiM someo�re other Ihan spouse, iM'rate Mith whom
Is Ihe perry in QuesUOn: Mnua�y Asussed
ealHVPenY ❑'4n"��Y�
DrawCr NO.... �OO,,�J,.....
Card NO. .....��J
� �S���D�
� v�v
20 _ 20 _ 20 _ 20 _ 20 20 _ 20
Sigrunrte d Camry AW imr Caunry Data (rtronth. GaY Y��
1 I We certify u�der �he penalry of perjury that Ne above and foregoing infortnalion is We and cortect and that ihe applicant is a resident of IrWiana arM
owrt�r I contrac[ buyer of the aforementioned proOertY on date application is filed.
autlnr�d Dy dWy exewted Porer of AttomeY � M IC 61.1-12-0.7 I�� (�w. �Y• Y'��)
s of auMOr¢ed person (num0er a� stree; tily. sfare, arM ZIP code) . •