HomeMy WebLinkAboutMortgage_Ross^' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Tawnship vear
__ FOR DEDUCTION FROM ASSESSED VALUATION
� Slate Fam C3709 (R11 ! 609)
`,d � PrnsrnbM M�^� W Lod Gavemmairt Fu�arKe
INSTRUCTIONS: ,
To be fiied in person or by mail with the CounryAudi[of w Counry Recorder of Ne counry whe`a the property is l��d- 2� L� ���
FlTmg Dafes: 7) Real Pmperty: Must file durng the year for which the deduction is soughG �J Counry Auditnr
2J Mobde /Manufactured Hortres rqt essessed es Real Property Must Ae dunng Ne tweHz (12J months
before March 37 0/ each year the deduclion is soughG '-y�� �/ County Recorder
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See reverse sede (or additional instutions aiM qual�lcalions. _��_.
T' Distriti � 7(ey number / legal tlesmpron
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AssessM ralue d real qoperty as d y���'�q�.��8 e/ Contraa 4debted� unpaid as ot Mortgage I(
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tt rwre m remd's GRereni C�an Cwt W apP�. uWicaU bebM:
Name of rt�atgagee ccontrar� se�er ,/ O
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Md� d rtnrD]agee u contract s ler (nun6ef and sneeL lal: sfefe. aM LP cotle)
Name ol assignee a dher ormer w hdder of mori9a9e
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caunry m Indiana? r
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No
COUNTYAUD
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Ot �9I�18 HP�1� I�18 50�8
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I I We cervfy untler Me penatty of perjury that the above ard foregoing mformatlon is true end cortecl and that the applirant is a resideM ot trWiana arW
owner / cantrad buyer M Me atoremeritioned property on deta ap�'Kation is filed.
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