HomeMy WebLinkAboutMortgage_Taylor (2)""� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION
:,-- FILE
.� State Form 43709 (R71 / 6-09)
y�. Presaibetl Cy DepaRrtleM of Lo�i GwemmeM Frante
File Mark
�smucnoNS:
be filed in person or 6y mail wifh the CounryAuditor or Counry Recwder o/ ihe couhty{ivher� !�e �rty is located. F� � ��
Fding Dates: i) Real Pmperty: Must file dunng Ne }rear lor which the deduction is sollgTft.' County Auditor
2) Mo6�le /ManulaUured Hortres not assessed as Real Property.� Must hl �nn�r�12) months
6efore March 37 of each year the deduction is sought �- �� ❑ Counry Recorder
See reverse side fw additional insfrucfions and qual�cations,
legal
1( no. what a his / her exact share ot interest7
If narne m remtl is E'iftemrt Nan Nat o1 app�ant h�dirate bebvr.
Name of rtnrtgagee or mntrarl seller � HN I
Addtea of rt�ortgagee or mntraa seAer (nunbar and stree; city, state.
Mtlress o( asagnee (num6er arid shee4 �1: sb[e, anC LP oode)
Dpes appiipM ovm prope�ty in any oNer If yes. w�at cwnt�?
munry in Indiana? ❑ Yes
❑ No
�o _ � y L o� �� �
synawre a
I/Wece II/�l�
awner/c
� "nanue(o`
re4tlent a� t(numDer and SheeG city. state, aM Z/P m
OI
Person authoraetl Ey duty exewted Power of Mortiey or by IC F7.1-12-0.7
Pdtl�ss of autha'vEd person (number a�b sbeeL ciry. stafe, an0 ZIP code)
�a
7-0 9
numbu/' Pagen�� I�
as M Is Ne epp(xant Ne sole
or eqw0oie awnel!
❑ Yes ❑ No
someone aner tnan spouse. f�q�te wdn H1wrn
Ls tlie P�bPertY in Ouestim: Mnuay' Assessed
❑ Real ProPertY ❑ ���Y �
VJhat Taring Dat�[?
zo
Has ma dea�aron eee�, Ra�euea m v�v�v
for artenl yea/? �.. �.
so � zo _
� I �ry I �� �,�. �Y�D - I 4-1 ,
infortnalion is We and correct and that Ne applirant is a resident of IrWiara aM
bn is filed.
N
o� �,r�o�vn. ear,