HomeMy WebLinkAboutMortgage_Rexing (15)"' STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS Co s' r
_, FOR DEDUCTION FROM ASSESSED VALUATION
� Stata Fofm d3709 (R11 / 6-09)
�' „r Presaibed �y DeP��rd oi Laal Govemmeirt Fnsrce
File Mark
INSTRUCTIONS:
To be filed in person w by mail with fhe County Auditor w Counry Recorder o� Ne county where the pmperty is located.
Fifig Dates: 1J Real Property: Must fde durirg Ne yrear for which the deduction is soughL � Cq �quditor
2) Mo6de / Manufactured Homes not assessed as Real Property: Must file during Me hveNe (12) months
before March 37 o/each year the deduction is swght � oun ecordu
See reverse siCe for addiG'onal inshucfiWns end qualifications. G IBS
Aoo�w4nl(ownerorcmtraCbuv�-see mravarsesiee) .
Y�
_ _ _ dv_ Uv. ��a-a
Abrtcage � ca,irarl u,cebtea�¢s unpeid as a Mongaye r ca,� maem�wnes
M�d� 7. a�rtrnt year dale of eppGration �
tt owned with otlmr tl�an spouse,
If name m remrC e dAferen� than that W appOfant, trWica9a belo�r.
Name of
rn hdder oF rtartgage
PdCress af av9gnm (num6ar arN streeG �: state. antl
Oces eppkam wm property in any ONer
munty in Indiana? I-1 ..__
.o b�a
! Is the ep Me sale
kgal «e�wade wmel+
❑ Yes ❑ No
htrom
• Is WopertY in Guestim: Mn�e�YAssesse0
Real Pr�«•-n.'_nualh��
bile Horne pC 6
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]� 1' II \Y C 1' � � . . �+�"�' . . . .
cdy, slate. ard 2/P cade) •,O� ^ . . . . .
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� 114,�. —
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s, what munt�? _'_ � Nas Ns dedumon Eee
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J
:teC m P�P�Y
Yes ❑ No