HomeMy WebLinkAboutMortgage_Gupta.f °'r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
51ate Fortn 03709 (R8 / 2-07)
�O � presmbed by Depanment of Loral Govemmed Finance
NM
File Mark
INSiRUCT70NS:
To 6e filed in person o� by mad wifh the CourrtyAudifor of the courrty where fhe propeAy is located.
Fding Dates: 1) Real Property: During the 12 months be(are June 11 0/ fhe year the deduction is fo be ef(ective.
2J Mobile Homes assessed under IC G1.1-7: 8etween January 15 and March 2 0/ fhe year the deduction is fo be eflective.
See reverse side fa additional insWCtions and quali(icafans.
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a�-r�-oS- aoo-oo 3. 53a-oal
1, anenlyear MMgage / ContreC indebledness unptid as of Maich 1,
wrre,d Year „ _ _
If ro, whal is his I har ezaU share M iMerest?
reowd is d'dFareN
�h9a9�
of mo�tgagea w mnuad seller (number arrd .s6seC dty. sfafa. aM
Nartre of ass9nae or olher oxner or hdde� of rt�ortgage
Address of assignee (number aM stree; dty, 9ate. aM LP mde)
S
legal
wNh someone olher Ihan spouse.'mdiwle with whom.
❑ Yes ❑ No
Is Ihe property in question:
❑ R�I PropeAy ❑ Mobile Hortie (IC 61.1
Does aPplicard own poperty in arry oNer If yes, whal counry7 What Te�dng Dis4icl? Has ihis tleduCion been requesled on properly
caunry m Indiana? f« airtenl yeaR
❑Yes �No ❑Yes �No