HomeMy WebLinkAboutMortgage_Hogge° STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Caun rownship Year
__ POR DEDUCTION FROM ASSESSED VALUATION
State Form d3709 (R10 /11-08)
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INSTRUCTIONS: File
To 6e filed in person or by mad wilh fhe CountyAWilor d the county where the poperty is located.
Wirg Dates: i) Real Properly: Must fde during Ihe yoer /or which the Oeductbn is sovght.
2) Mobde / MarnAactu�ed Homes not assessetl as Real PropeAy: Must file dumg tl'e (weNe (72J mmfhs hefore A/arch .?� p�� year
the deduction is sa�ht. J U IV 4 � �
See reverse side /or edddional insfructions arM qualificetions
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H ro. what is hs l het e�atl Share d iNere5�7
�me on ramd "a dfleram than upt or app6mn, in0idfe bebw.
ciu�J
AEErass d mon8agea or mNrad se0ar (rvmMrantl s7roeL
Name of assipnee w oMer amer a hdder of matpa9e
Address ot aaipnae (mi�rMa and secc+. ciA: sfah�.
�icant wm
Indiare7
DeEudion approved in tl�e artwuni d:
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Signatura d Courity Audila
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ZJP Code)
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I( owned with SomeonB dher �han spouse.
COUNTY AUD(TOR
20 � ZO � 20 � 20
1/ We certi(y urder Ne penalty of perjury ihat the above arW foregdng mfam
owner! mnt2d buyer of ihe a(orementioned piope�ty on date appiication is 1
m� adEtess oF applitan� (rumtApeM sbnof. ri�y staln. end ZIP o000)
7rs—'/.:, S 9f� �. o� e.�s✓� � ��
parson (niunbOrarWSLcot,Cip;smfe.andLPCOda)
Yes
� �e w�M � auestia,: nnnuaPy nssessee
❑ RP.� PlOpertY ❑ MnUa�h'A55255EU
Modle Hortie (IC 6
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20 _ � 20
No
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