HomeMy WebLinkAboutMortgage_Anthony'°� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
� ? . Stata Form 43709 (R71 / 6-09) �
�` Presaibed by DepaRrtierR af lnral Govemme�LL Fi`arrx
"" T � File
INSTRUCTIONS: �
b be fited in person w by mail with the County Audito( or Counry Recorder of the counry wheie the property is ted. � ��
Fitirg Dates: i) Real Property: Must file dunig Ne year (or which the deduction is sought e—t''unty Auditor
2) MobAe / Manuladured Homes rrot assessed as Real Pmperty Must file dunng the hveNe (12) months O C O� L(�1Drty Recorder
6efore March 37 0( each year the deduclion rs sought.
See reverse side 7 ad tional insmictions an�al'dicafions. n `
Key
Ma�U 1, nnpnt year
rc �w, wnat a na � trer exaG share or Inin,rest?
�'�-l�x�a�-�o as,�-oaa.
9e/ a'v+CeMeE Paid as W Contar3 i
MM�artd�i 1, wrtent yeer da ficatim
If name m remrC is dAterrnt than Mat a( appOCant, v�ak
Name of nwrtgagea or mntraQ seller
Address of rtnrtqagee or conUatl setler (number and sb
Name o( asvgnee w othr! owner or halder of rtartgage
AdE2ss of a.ssignae (number arcl street �S: s+ete, an'
Does appkant o.m
munty In IMena?
�
ypperty in any oNe�
❑ Yes ❑ No
in ihe amount of.
� N ' �
W Camb nuditor
ffi�,
_ _
ao�o .....
Dra\�'el- NO.... - — �
��5. . ......
_ c:�t-a �o. ... ..� :. .. .
�a0, �
2U I 20— �
Counry
�
spouse. mdi�te
Is U�e property in Questian: Mnw
� Real PfoPertY ❑ Afmual
Alodle
Fias iha dedutYion 6een
far Wt1Ent yP2(�
�
�Y. Y�A
ritaNe owneR
Yes ❑ No
� P�Y
❑ No
�_
.� I I We certify under the penalty ot perjury that the above and foregoing infortnation is true and mrtect and that Me applinnt is a resident of Indiana arW
owner I contract buyer of the aforementioned property un date application is filed.
VJ / rslutl nal X�il�1l y/ A Date imonfh, deY Yga� ..
i�� mh�/l� r
I��
ot autha'ved persa� (number aM sbee; dly, state, anE LP mde)