HomeMy WebLinkAboutMortgage_Mullen (2)"�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun shi
__ .� FOR DEDUCTION FROM ASSESSED VALUATION
� • State Fortn 43709 (R71 I6-09)
�` � l Presaibed Ey Oepartment of Loral GwemmeN Firence
•"" i a
STRUCTIONS: F� fl� �:
To be �led in person or 6y mail with Ihe CounryAUditor or County Recorder of the county where the property is located.
Fil'mg Dates: 1) Real Pmperty: Must file during the }rear /or which the deduction is sought. C. . ditor
2J Mo6ife /Manufactured Homes rrot assessed as Real Properly Must file dunng the fwelve (12) months ❑
be(ore Maich 37 0/ each year Ne deduction is sagh[ ef
See reverse side /or edditbnal instructions arrd qualifirations. G IB S
e....r �� ���.,..e.... n. r- <ew ie.Cfrliortc nn reve e1
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IdarU 7,hu�eN �&
I( ro. what a his / her ezaG
If twrie on reooN is NRere
thai of aGP���• ui0'vate bebw.
contraU seller
of nnrtgagee of mnbaG
Name ol assi9nee w otlrer owner
Address of assignee (numGer aM stree; ay, stete, antl ZIP
Does epplimnt v.m property in any aher If ye
counryinlndiana? � Yes ❑ NO
oi Ne arm,m ot
zo_ i �—
��.
I I We certity under ihe penalry of perjury that Ne abor..�
owner /� tracl buyer of the aforementloneG property on daie�
r o� IWme) � 1
�•— l
fl 2siCent address W appGont (num0er end aLeet a1y, state, aM ZIP m
�.xS� S '-I~l � �� �u��.�S�1 ��
rson auUrorimA Ey duty executed Power of Attm�ey m by IC 61.1-12-0.7
Mdress of autlior'¢ed prim� (number arM sbee; tlty. state, an0
� `-Y� �
Reco�d'wmber Page numDer
_QO/3o�—O�/ �o i � 03
�ness unpaiC a ot Martgage I CmtrarY mdeMedness un ' as d Is the appfirant the eM°
date of aDP�ation cA �9a1 a M�itade avnell
�(�. ❑ Yes ❑ No
N awned wiN someone other Man spouse, iMicate wiM wtwn
IS th¢ pfOpfll`/ YI QuE511011: Mflll'd0Y ASSQyCd
Real RoPeM ❑ �^�a��Y �
Moble Fbme QC G1.1-i
� %�n _ 7� „ ,P �- rn�c �
9
Counry
irtnaGOn is We
is filed.
Y
Nas Vus tleCUdion Deen reqursted on propeny
foramentyeaR f'i .,__ t-1 �
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,�,� ks� � ��'�/�
d�r. reen