HomeMy WebLinkAboutMortgage_Armstrong (2)^'� STATEMENT OP MORTGAGE OR CONTRACT INDEBTEDNESS Coun shi
__ � FOR DEDUCTION FROM ASSESSED VALUATION
: . " • StateFwm43709(R77/6-W)
,,.,. 1 Presvibetl by �epanrtrent o1 Loml Gavemrtrent Frence
INSTRUCTIONS: �
To be filed in rson w b mail wifh the Coun Auditor or Coun Recorder oI Ne coun where the ro F�`�' �� ��
PQ Y �Y �Y �Y P PenY is located.
Fdirg Dates: 7) Real Property: Must file dunrg the year for which lhe deduclion is soughf. Cou��u ditnr
2J Mo6�ie / ManulaUured Homes not assessed as Real Property: Must file dunng the tweHe (f 2J rtwnths ,CS /jc�,
before March 37 0l each year the deducfion is sought. � GCounty�Pmrder
See reverse side fw additional instructions and quali�rafions. G�B �
IMM���(owmroraontraC.Duye�- mraeerse ide)
/C
7a �ng District Key number / al desmption Reco�d number Page numbu
!0-�7-1�-dod-000. s�a_oa � 009 s' !c
Ass�se�.' ra4�e of Ral popeM1y as of Mor�qag e/ ContraCt "udehteEnnss unpaid az of Mwlgage / COnt2C'vMeMtWne55 unp3i0 as of Is Ihe epplk2nt �he Sole
MarM 7. a�rt year Mart3� 1, wrtent yrar Cate o( aPP�m� legal or epuitaWe mmert
1 S3 �on ❑v� ❑No
I( no, whal i5 hiSl her eaart share Of intemst?
It name on iemtl ¢ d'dterenl than Mai of a00��4 �dirate Eebrr
Name o( rmrtgagee or conVacl
mart�agee or wnbaG seAer (mmbei arM street
of assrcyiee w oN� owner or hdder of mortgage
Address of assignee (number arM stree4 �Y, s+efe, eM
ooes epqinm om, yopeny
munry in Indiana? �
appmved in Ihe amount af:
20 20 20
inneotCounbAUCimr .. /
I/ We ceNfy u�er ihe penalry of
ownell contracl buyYr of the aFor
ol
aM ZIP code)
��m
If owned wiN someone other Ihan spouse, ifWicate witli whom
Is the property in Question: Mm�aOy AsSesseE
❑ Real Property Q MnuallyASSessed
nnoaie � im�e nc �i.
=What T �mperty
Dra��•cr NO.. a�.......... ❑ �
COUNTYAUDRC C:11�(1 � O. ....... • • •�Y.......
�5�8`�7.� -
20 i 20
Ihat Ih above arW foregoing infortnation is We and cortect arM that the applirant is a resident of Indiana aiM
�ned p�perty on date applicatlon is filed.
M�nl..��nM Aev wail
�- � wl �__..4. �-%lQ'
state, eM Z1P
persw� (numberantl sveef, cdy, state, an0 LP aode)
�
Date (monN, tlzY. Y��