HomeMy WebLinkAboutMortgage_Brown.+�'* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count Township Year
,.._. t FOR DEDUCTION FROM ASSESSED VALUATION � .�
�- � State Fwm 43709 (RB ! 2-07) � A
�0�;. � Presmbed by Department of �ocal Govemmenl Finante ��f � �
� File Maric
iNSrRUCr�oNS: DEC 3 U '1.008
To be filed in person or by mail with the CountyAuditor o/the county whera the property is loceted. �
Filing Dates: 1J Real Property: Dunng the 72 months ba/ore June 11 of the }rear fhe deduction is to be eBec6ve.
2J Mobile Homes essessed under IC G7J-7: Befween Januery 15 and March 2 0/ the year the d��� �s to � 6ve.
See reverse side /or additional insWCtions and qualifiwtions. !�'�aO /f
ci
I IfIIYi h
Applicaq o er w aonlracY qyyg, - ser,.gsVictlo{is verse side)
P�P�Y
whai is his / her exact
mortgagee or contract seller
Address of mortgagee a conlrac7
Name of assignee w oiher owrrer or
Atldress of asvgnea (numb�
Does applicanl o.m prvp
counry in Indiana? [
Deduction apP�'� � tY
zo O
Signature of Counry Audibr
-, �
curenl y�r Mortgage I CorNad
curreM year �
belrnv:
mortgage
end ZIP co0e)
DC�S........
Dra���cr 10..�...
. � 5917
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Rewrtl number Page number
- Oa,/ GO � �
as of Marc� 7, Is the appGmnt Ihe sde legal w equitable wmefl
❑Yes ❑ No
If oaned wM mmeone olher ihan spouse,
wortoR
Counry
zo
Is Ihe property in quesUOn:
� Real Property ❑ Mobile Home (IC 61.1-7)
��. `. �. �
Has Uds deduaim Deen requested on qoperty
fw curtenl yea/7
❑Yes ❑ No
zo _
tlaY• Y��1
.�
I/ We certify under the penalty of perjury tliat the above and fwegoing infwmation is true and mrrect and that the appiiwnts was I were a resident of
Indiana and owner of the aforementimed property on March 1, 20
in wre wne/s lull nemei' � Date (monN. tley. yee�
resident atltlress of applicanl (num6er entl s(reet. cify. sfafe. and ZIP catle)
: 5 �� o �c.i�S- .f��'� -l��a C(/ l
mn— a�raetl by duy execut aver ot Atlamay w by IC G1.1-12-.07
ress of aulhaaed person (number aM streef. dty. state. aM ZIP oo0e)
Date