HomeMy WebLinkAboutMortgage_Morgan (2)'°n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
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- FOR DEDUCTION FROM ASSESSED VALUATION
� Slate Fwm 43709 (R71 / fi-09)
�,,,, PresoibeE by �eparimeM of L.oral Govamment Friance
File Martc
�NsrRUCnoNS: rCp
To be filed in person w by mail wifh the CounryAUditor or Counry Recorder o( (he county where the poperty is 6sa1Ld1 �� ��
Fdirg Dates: 7J Real Property Must file dunig the year for which fhe deduction is sought. un Auditw
2) Mobi7e / Manufactured Hortres not assessed as Real Property: Must file dunng the fweHe (72) �d]onlfii ry
6efore March 37 of each year the deduction is sought. Counry Recorder
See reverse side !w additional instmurons and qualifications. N COU NTY A
Rp{�m (mmerPr °°"v�rt b"yB�' se4r§kv'm°"s on re.rerse side) �., ,.
irrsa�.^.r
If ro. wha15 his / her e� share ot interesi?
wrrent year
m rcmd is Citterent Ihan Nat of aOP��t ��cate below
Name oi rtwrfgagee or
Pddress o( nortgagee w contract seller (number and sfree4 u1y. state, arxl Z/P
Name of asvgnee or aher owner w holder of mortgaga
ACdress ot assgnce (number and stree4 �y. state, and Z/P code)
ooes appinnt own pmperty
munry in IMiana? r
icuon approved in ihe amount of:
20 20
Sgrenne d Cauity a�eilor
az
COUNTY A
20 � 20 _
'uWeMedness
sPOUSe,
I mb� F�"." �
as d Is Ne applirant Ne sde
kgal w epuita6le v�?
n Y� n No
Is Me property in Questian: Mnually Assessetl
R.RmlPmPerty QMnuallyAssessed
I hbMle Fiome fIC G7.
Dra�vcr 10...��. �.......
� I l.(/ . .
C11"(1 �`� . .... ........
5l 3 B� ���o, 000: �'..
Caunry
2tl— � 20
�ate (mon(h. tlay.Year)
m property
�
I/ We ceNfy under Ne penatty of pe�ury Mat Ne above aM (oregoing infortnation is true and cortect arW Nat the applicant is a resident of Irdiana aM
owner I contrad buyer of Ne aforementioned property on date appliralion is filed.
7��1[e (ownels !utl rertre) �� Date (monN. day, Yea�
tlry, slate, antl Z/P cotle)
b1
person (numDera� sVeeL dry. State, aM ZIP cotle)