HomeMy WebLinkAboutMortgage_Stefanich." STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
State Fam 43709 (R70 /11�78)
`,.,. � PresfribeA by Depa�brent o( loc� GovammeM Firunce
INSTRUCTIONS:
To 6e file� in persan ar by mad witlr the CountyAuditcr d fhe oounty wheie the poperty is lacated:
Filirg Dates: 1) Real Properly: Must fde dunng fhe year lor wh6ch Ne dedwYion is sought.
2) Mobde /Manulactured Homes nof essessed as Real PropeRy: Must file dunng tlie fweNe (12) mmt1��qry!�$A�@�f,3,�,q/ each year
thedeductionissaight JUIV 1 U LUUJ
See Ieverse side far addAronat insWdioltt and 9����s _
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N ro. what p hq / hm e�d shaee o( iMere5�7
n reme on rec«a a G�arem uun �na+or aoa�
Name of ma�ipagee a mnt�aU seAar
Address d mofigagea a tantrad 5e0m (�Mn
"uNitale belwr.
Name d assipnea or dher mvner w hddar d md�pape
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InLiana?
I—I Yes
oeauuuion ewrwed in ne arnwm or:
No
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i i we ce�ny ��ar�
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the abi
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a
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H owned with somaoire
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aa W I Is the app(vaM Ihe sde
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O Yes ❑ No
spouse,
I5 Iha v�GeM m vuestim: anrwaoy wssessm
� Real Property Q Mrnaly Assessed
Mahile Home (IC 6-1.
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COUNTY AUDITOR
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MEressdaWhorizadpersm (nvndrandSLMCCdy,sfato.aMLPcoEO)
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at�{�r{h, d`y, y� �^
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lican[ is a resi0ent of IMiana aM
ata (morW�. daY Y�)