HomeMy WebLinkAboutMortgage_Felty^'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ + FOR DEDUCTION FROM ASSESSED VALUATION gg
• Stale Fortn 437091R11 / fi09) � � �
\ P Presaibed by �epartmern of Local Govemment Firexe
� File Mark
�NSrRUCnoNS: �7''
b 6e filed in person w by mail wiM the CountyAUditor or Counry Recolder of the county wher�.t�r�erty �U�fed. F� �� �
Filirg Dates: 7) Real Property: Must �le during the yearlor which the deduction is saught ��ty q�d��
2) Mo6�7e /ManuFaGured Homes not assessed as Real Prt�perty Must Re dunng �pnths �
6efore March 31 of each year Ne deduction is soughG �e���� (\ \ County Recorder
Seereversasideforaddifionalins�cGonsarMqualificatans. TVA DTOR
MP�nt(owreiaconvactbuy -see_sf�kmnsonreversep�ile) _ �'���iS56ld69U
f'�n,R
I hu exad share oi
- oa i
Is Ihe app6mnl Ne sde
�gal or epuUable vnnelt
❑ Yes ❑ No
If ovrtied with someane oiher than spouse. indifste wNh whom
If name on �ecwd is tliMerent ihan that o1 applkanL'uMicate Debw.
tJame M morcBaBee or mntraa se➢er
Address of ma�icja9ce or mntraa seder (nwMer end stree; crty, ste:e. arW ZIP oode)
Name of assi}p�ee or oNU wmer rn halder at rtangage
- �� �Ty � ����� ,
. 31 mu�t�? Wha� Taring DisNxY?
� 11 —/ W S COUNTY AUDITOR
20 _ z0 _ 20 20 20 _
Sipnanne a �mtYi'��14� .. _ �. � � _ —� Counry
I coritraclbuyer of the
e an0 fo
on date
execvted Powvl d Attort�eY a M IC 61.1-12�.7
Pdd�ss af auNOrrseO person (number and sheet c(ry. sbte.
is filed.
IS IhC ObPertY rtl �IICSLCl1: Mf1l�2P� ASSC552d
❑ Real Prope�ty ❑ amuany asses�
2q
oa�e Imarte. daY y�.�
� D�Y
❑ No
�
is true and cortect aM that the applinnl is a resident of IrMiana and
I /i/_
e , �.nJ � %lv�nS