HomeMy WebLinkAboutMortgage_Seale""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
f FOR DEDUCTION FROM ASSESSED VALUATION �
Stata Fam 43709 (R10 H7-08)
� �� P(ewibad bY �Nnant d Loral GwemmeM Finanoa
INSTRUCl10NS: FIG.�
To be filed in person cr 6y med witli fhe CourtlyAud'ROr d the county where the rty is located J U N 1 [U�
tilirg Dates: 1) Real Property: Musl ke durnig the yeer for which the dedudion is sought.
2) Mobde / ManulacdireC Homat nU essessed es Real PiopeRy: Must file dunrg tl�e tweNe (12)
the CeCuction is sougfit
See
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Ma�ch 1. amer0
Y ro. wtut a his / �er erad
H reme on �Bw�d'a dQfaaN Uan Uiat W aP7�L ind�te hebr.
Narre d monqagee «mntrae seAer
rtnrtgagee a mEra�t
�
Pddfess d aaegnee (�wwrrDer aM sboc{ r�N. stab. arM LP mtlo)
es
@
Ma� 31 o7each year
�
u�deWednass unFeid as af I Is Ihe zVW� Ihe sde
legal n equ3aWa o�vne!!
❑ Yes ❑ No
Ihe poparty in Quetim: MnuaM Assessed
]tzea�aropertr �nn�,ua�yasses�ea
Does a�pfrant own propeity in : ' istrid? Has ihis deduaion haen reQuested on pmperty
mu�riyminG¢na7 ' fora�rterd eaR � Ye5 ❑ NO
❑
Di•a���er NO...�9.........
Dedurlion aVGroved in Ne amo I�n�
Card iVO. ......��°S.
s ' . . . . . . . . . . zo zo _ zo _
�° �8�, L¢OO. W -
se�a��dcWmrmm�« o�a(�w,.aar.r� .
I! We certiy uMa the penalty of perjury ihat the above aM foregd�g information is true a(M cortert and that the appfican[ is a resAent af Indiana and
owner I m�tract buyer of tlie aforementbne0 popeRy on Aate applkafion is filed.
Sip�ature�w.��filnanre) _ � Datelnm'RA.tlaY•Y�)
bY
(numbar anEStloe( dty, sble, and LP codo)
Date (mortlh. EaY• Y�)