HomeMy WebLinkAboutMortgage_Byrns (4).� °"� STAIEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
�:... . FOR DEDUCTION FROM ASSESSED VALUATION
�eF�,���«,z-0» F I E
�' .•» � Rescribed by Departmenl of Local Go�emman Finance
File Mark
�NSrnucnoNS: SEP 1 6 2008
To be fiied in person or 6y mad with the CourttyAuditor of the county wfiere fhe pmpeRy is bcated.
Fding Dates: 1 J Real Property: Dunng fhe 72 months before June 17 0/ the year the dedixSon is to be e/fective.
2) Mobiie Nwmes assessed under IC 6-7.7-7: Behveen January 15 and March 2 0/ the year tfie deduction-ys�o be e�� re.
See 2verse side lor additional insWCtions and qualifications. O'�a�
Apq" rd (amer or mnGad b r- see resirictims m ieverse sde) � 1^ .
� ��
T'ng Dis4iG Cey rn�m6er / legal desaiptbn ReooN number Page mimber
o-..� -d -a d . S. -oa / �7
Pssessed rdua of 2al popaty u of March 1, artml ymr AbAgage / CorNacl'mdebtedness unpaid as of March 1, Is Ihe applicanl Ihe sde legal w equita6le owneR
airtent Y� j//. � �i�� �es ❑ No
INartre
II:Er^
recnd is diflereM Uian Ihal of applicaN, i�cale belav:
Eriga�9�q/ or coniracl selle�
I�qa9ee�� ( ber and streeC trty. state. aM LP oode)
�sgr�ee or olha owner u hdtler of mortgage
assgnee (number eM sLeet, city. state, aW ZIP ootle)
IiraM wm property in arry dhPs
Indiara?
❑Yes ❑No
Deduction approv
p�_
�
Sigreture of Cour
of:
20 _
If yes,
20 — I 20
If wmed with mmeone aher Nan spouu,
�+�b
❑ Mobile Horne
Drawer NO'.�!•��•�SVf �r�m
.. ' . -.' _ ' ❑ No
Card NO._..... ......
�/�ma�5°"C!�°a'"�k �63�°a� �—
20
20 _ � 20
1 I We cerOry under the penalry of perjury ihat the above and foregoing infwmation is We and correct and that tlie applinnLS was / were a resident of
Indiana � owner of the afwementim erty on March 1, 20
��awre ( ers hd�name) � oate (manm, aar. r��
address o(.�(iicatX (num6er end street dty. sWte, and
m uw�„ay « ny ic
� Addrrss of aulhorized pe�sm (number arM s6eel, cCy, sfate.
e
�yy��
1-7)