HomeMy WebLinkAboutMortgage_Garrett (16)STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
� FOR DEDUCTION FROM ASSESSED VALUATION ��
Slate Form 43709 (R10 /11-08)
` � Presaibed bY �rtrent d Loral GovemmaN Fe�an�
iNSrRUCnoNS: ��� �eMa�09
To be frled in person or by mad with fhe CountyAWifar d fNe county where (he propeRy is located.
tilirg Dates: iJ Real Properfy.� Must fde dunng the yeer for which the deduction is sought.
2) Mo6de / MarnAacturetl Hortres nof assessed es Real PropeRy: Must fde dunng fhe 1weNe (12J months befqC§�March ! yf �each year
the deduction is sought. S�� ����.
Seereversesideloredd�iiorwinsWdionseMqualifications ���98N COUNTY AUDiTO�
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tl rema on reartl is Cllaram lhan that
Name d mortgagee or m�rtdraa se0er
Daes a
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20
/ 1e9� Eesasv5on
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belbw'
0
ONfIBA WIUISOfi1B011B WIBlIIWI SGW+'B.IMKdIB WIIFI MRIOIII
3e w cmlracl se0er (nun6erand sfroeL aA: s6ro. and LP wde)
f Oi�IBf ONIIBI IX�IObBf OifllOf�Q3aB
r(miimbei and sbeeL �: smb. arW LP wde) '
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property in arry ather S yas. what cqmy? Wha1
� Yes ❑ No ,
_ / , COUNTY AUDII
in Ne amouM of:
20 20 20
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❑ Yes ❑ Na
6 Ne P�GaM m GueSion: AnrvuM ASSeSSed
, �jeal FmpertY Q MnualryAssessed
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20 I 20 I-• 20
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I/ We certify undx the penalry o( perpiry ihat the above and (oregoing mFormation is true and correcl and that the ap�wnt is a resitlent of Indiana aM
owner / mntrad buyer of the aforementioneC property on tlate aPP��n is filed.
Sipnature (owrmfsRAnar�p) � Date (rtronlh, day. yoa�
Cay,
Mdrass d aulhor¢ed Parson (numbor ar+d sfi,reG dfl: sbte. aM LP rndc)