HomeMy WebLinkAboutMortgage_Spindler^'� STATEMENT OP MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ � FOR DEDUCTION FROM ASSESSED VALUATION� ��
� � • Slate FOfm 43709 (R71 / fsW )
S 2 Presaibed by DepaMieM of Local GovemmeM Frence
"" File Mark
�STRUCTIONS:
1 C 7�1 Form Aed wiN:
To 6e (led in person or 6y mail with Ihe Counry Audifo� or Counry RecoNer o/ the county wh��e Roper[y�s �fed.
Filing Dates: 1J Real Pmperty: Must file during the }rear lor which the deduclion is soughL � County Audimr
2) Mo6de /Manufactured Homes raf assessed as Real Prtiperty Must fi(e dun� the�lw;��J�nonths
6efore March 37 0/ eacA year Ne deducfion is soughG v \ Counry Reoorder
See revefse side loradditional insfructions aiM qualifications. DITOR
AooGcant (owner oc �4'er- see resfirJiau m r�GElse sitle� ,.. . , �-. _ .. .
�'
no, �Mat is his! her e�G share W interest?
name m rt.md ia NReran than that W a0W
Nartie of rtwnga9ee ar
r/legaldesviptim '
f-1 --��3�00-DOO•.�7`/-O°�iS �`� /�
Mor(qage / Co Me tedn id f Mortga9e I Contrarl ifMebtednrss wPaid as of Is �h�
March 1, curten r/ p.� �� I datn of aPPlintion lega
ACtlress M morcgagee m m�tract srAer (num6er and sbeet �: sta
Name ot ati�° ^" _°. —
_— ao�a �
Dra���cr i\0 ..................
'� W, � .... at
� Card1O ..::............• -
� .yy,om•°� -
�
Sig�aWre
20 _
I I We cerlify urWer ihe penalty of perjury Ihat
owner I cqntract buyer of the ato�rnentirned
by Auty executed
�_
e ah bove aM tc
�moertv on date
tt ow+ieC wi'J� somearie other ihan spouse. iMicate with wMm
COUNTYAUDROR
20 _ 20
� Counry
ootle)
or by IC 61.1-72-0]
person (numbe� antl street �+N. ��e. e^d
�nt Ne sale
iita6le ovmM
Yes ❑ No
Is ihe Wu7ert1' in Vuestia+: MnuaM Assessed
❑ Real Property ❑ Armually Assessed
nk�tvin Home fIC 61.1
Has Nis dedudion b
for wrtent yeaR
I N
sted on proprtty
Yes ❑ No
Date (moNh, tlay, yea�
{I9
infortnalion is true and cortec[ afM that Ne appliran[ is a resident of Indiana ard
ion is filed.
6ate (month, Gay, yea�
Date (monN, tlay, yea�