HomeMy WebLinkAboutMortgage_Boyd.p °^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
: ' Slate Fartn 43709 (R8 / 2-07) � �
S 1 Presrnbetl by Deparlment W Loral Go�.emme�n Firance
nr �
c�C File a
To beiled�n person oi by ma8 with the CourrtyAuAitor of fhe couMy where fhe piope/fy is located. J`P 1 6 jQ08
fd'oig Dafes: i) Real Pioperty: Dunng fhe 12 monMs before June 11 of the year the deduction is fo be eflective. .
2) Mo6/7e Hames assessed `mder IC 61.1-7: Between January 15 and March 2 olthe year the dedu�is to be efiective.
See /everse side lor edditional insbuctions and qualifications. r,��_ °�`�" �if�,
see re�
��� i�����
I�W�12� IS fl6 / �I%PSBG� Sh318 Oi If1�C185�7
If reme m recortl is d"dfereN ihar� lhal of applicam, indic
Nama of morlga e or cmUxi saller ( _
Address of rtar�ga9ee «mnirac� sMler (num6uantl sG
Nartre of assgnee a dher owner a hdder of mMgage
Address of assignee (rxrtMer a�M sfreeG dty. sfate. antl
Dces appliraM own PopeNY in airy dher
counry in Indiana?
❑Yes ❑ No
Deduction apprwed in Ihe amount of:
20 20
signawreo CamhAuditor
sfafe. arM LPCOde)
If yes, what oounly?
�
Retord nurtiber
'a -o a icro�
���d�o��, . ��=�a��,��
❑Yes ❑ No
ieane ollier Ufan s{�m�u. u�cate w�In whom.
•_ �M Of�PBRY I(1 QU25UOf1:
^ •..,ti,,. H«� nc 6�.
— ,
D►'a�ver �\=p;;: o�/v�
�-�11�;.:....
C rd l�i0. , 3y'�.J
- �i�a,5oq.��� ./.,..
� („(� � n
What Ta�ing DistriG7 Has Utis dedudion�� 1 on pioperty
fw artent yeaR
❑ Yes ❑ No
�UN�! AUDROR
20 20
Cwnry
20
Date (mmfh. daY. Y��)
20
1/ We certify under the penaity of perjury that fhe above and fwegoing infomiation is We and correct and ihal Ihe applicants was I were a resident of
Indiana and owner of ihe afaementioned property on March 1, 20
of appliranl
llou>GrooK C�, L
Power of Altorney m by IC G1.1-12-.07
Address of auttnr¢ed pasan (num6er and sfine( d}; sFate.
l ll2 . �A/ �710� S
Dale (mmlh, day, yea7