HomeMy WebLinkAboutMortgage_Warren (4)^�� STATEMENT OF MORTGAGE OR CONTRACT INDE
__ . FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn d3709 (R71 / 609)
�' w� Presvibed by DepaNnerd o1 Lnml Gwemment F�
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INSTRUCTIONS:
To be filed in person w by mail with the CountyAUditw or Counry Rewrder o! the county where the p�operty is located.
F7ing Dates: 1) Real Property Must file during the year for which Me deduction is soughG
2) Mo6�7e /Manufactured Homes rat assessed as Real Property: Must file dunng the fweNe (12) rtronths
6e(o2 MarCh 37 of each year the deduction is saght.
See reverse side for addttionel instluctbns arM qual/firations.
Assessed rdlue d real VoP�Y as of
�A1a�tl� 1. anen� I�r
rc no. wnal Is r�s � ner e�md snare or interesc7
tt rartie m remrE is C'tlferent tnan Nat of aPW
Name W rmtgagea or mnirad se9er
'ol - .`7 [7�ri
Mortaage / ContraG inde6tetlness unOaW as W aM �9 fge��� indeMetlness unPaid az of
rd� ayre�ypar f 1 11
ar
Add2ss of mortgagee w contract seAer (number aM stree4 �: ��. arM ZIP cade)
Name M azsignee or afhei oxner w twlder M mortgage
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Indana?
�fi.
Yes LJ No
whalmuntyt �WhatTarirgDistrict?
other than spouse.
Counry Aud'rtor
O(p���0
Page wmbel
Is Me eppfimnt Na sde
legal w equitade m�nM
n Yes ❑ No
Is Me O�DenY in Vuesnon: MnuaPf AsesseO
� Real PmPenY Q A^^ua1lYAss�
Abdle Fiort�e (IC 61.
Has Uia de0urdm Oeen rt.GUested on p(apeny
mr anrmt yea(1 r-i .. r-� .