HomeMy WebLinkAboutMortgage_Spindler (4)""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun i Yea�
�_ FOR DEDUCTION FROM ASSESSED VALUATION
Slate Farm 43709 (R70 /11-08)
� yn � Prasaibed bY �BPartmanl dLOral Govammenl Fiiun�
wsrnucnoNS: �uN 1 �;i
To ba fded in person or by mad witli Mre CovntyAWifa d Ihe county where the property is located.
Rlirg Dates: i) Real Proper(y: Must /de dwing the yeer fw which Ne Oeduction is sought. ���h
2) Mo6de/Manuledure0 Hortres not essessetl as Reel Property.� Must file aunrq tlielweNe (12J montba�¢qJo{¢JAardfvYO/eachyear
the deduction is saght �� ���(J S Y PUDITOH
see ieverse sitle lor adddbrW irrs�dions and aualificefions n n40N C�UN
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Narne d malgagea af mnlaG se0er \�/ �
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Ie9ai u eQUlable awrie(1
❑ Yes ❑ No
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Daes aPP��t avm pfape�ty in arry other/ 'ng D'atrid?
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owner /
- Ls me pmpe�ry in Cuestim: Annualy Assas�d
❑RealRruOeAY OMnuallyAssessed
� � EANYb F4rrw llf. F
r+as uus aeauaan oeen reQUes�ea on praperry
forwrrBnlyea(! ❑ �
❑ Yes
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_ 20 20 20 20 _
.-�i.// Caunty Date ( �y "/ '"/' (.i
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penalty ot ry ihat the above aM faegdng inFomiatbn is We antl corred and that the appticant is a resiCen� of Indiana anE
of fhe afo entio�C poperty on date application is filed.
' / /�, Date (n+mM, tlaY. l'�)
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Address d eulhorized persan (nivnber arW SLeeC CGy, s7alo. and LP cadc)