HomeMy WebLinkAboutMortgage_Murphy (3)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship vear
_ FOR DEDUCTION FROM ASSESSED VALUATION
� State Fortn a3709 (R71 / 609) � I� E
� Presai6eU Oy Departmenl of Local Govemment France
File Mark
INSTRUCTIONS:
To be filed in person or by maii with the CounryAUditor o� Caunry Recorder of the coli#� w�re tF�perty is bcafed. F�"� �� ���
Filing Dates: 7J Real PropeRy: Must !le dunng the yrear (or which the deducfion is sought. � Counry Aud"rtor
2) Mo6ile /Manufactured Homes not assessed as Real Property: Mu�fi/a� " tweNe (12) months
6e/fo�re March 37 of each year the deductnon is sought ❑ Counry Recorder
See reverse s�e ar addiGOnal instructions aruj,qual�cafions. _ � .. _.. __ _
iR•T^l!'%'
It m, what "s his / twi eraC share W inte�est?
It rume m remrd is Qdferent than Nat d app6rant, trdibte Eebw
r.-r.rmY-:�
mayagce «contraa seoer (mmba.end srreet.
Name of asv
AECress of as
�oe• appikar
counry in InOk
( W -W eKJS� -N
ebtetlness unpad as d Mort
1 O � date
i
aM ZIP
Remd number � Page number
rc mmea wim someore �t�r u,a� spouse. �,a�irete M;n, �iam
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Card .....
� -�a8�sy�.°° �
...NNTY AUDROR
Drauclion apprwed'u� ihe amount oE
20 _
Signanne d CamN nwa«
20
I/ We certify under ihe penalty of
c
iRade ownel.+
Yes ❑ No
IS tlre V�PertY in vurstirn: Mfwally AssesseE
❑ Real Property ❑ Mnually 0.ssesxd
for curterLL YPaR �een reQUrsteO m PmpenY
❑ ves ❑ No
20 _ 20 20 _ 20 20 _
Counry Date (�h. daY. Yea�
Nat the and foreguing infortnalion is We and cortec[ and that Me appliqnt is a resident of Indiana and
n pro rty n date appliption is filed.
Date (rtmtl�. daY. Yge+)
by IC 61.142-07
Pdtlress af aulhor'¢Ed person (numbe� a�M sfreef, dry, sbte, and LP mde)
Date (rna�nth. Ual: Yea�