HomeMy WebLinkAboutMortgage_Spade"'no STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun hip ea
__ .; FOR DEDUCTION FROM ASSESSED VALUATION
SFate Fortn 43709 (R71 /6-09)
� � Presaibetl by �epe(irtlen� o( LOCaI Govemment Fiflance
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INSTRUCTIONS: ���yy,tLLL:::---���222--------
To 6e fiied in person w by maii with the CounryAuditor or Counry Recorder o/ the county where tf�e property is located. F� �
Fitirg Dates: 7) Real Property Must �le durirq the year for whirh fhe deduction is sought. � Coun i r
Zl 6 fbore March 31 o e�h�es not assessed as Real Properly Must file dunng Me twelve (12) months G � SO�p a��
year the deduction is sought ly RF19fd4dR
See reverse sitle for addiLOnal instiucUons and qualifcatbns.
nppGnnt (mmerw crnuact b�ryer- sea reunraons m reverse sp/q� ,�
Tabng District \ .
:�������
1. armnt year
I( no. what Is ha ! her esart share of intelest?
Cp - i`t3-a4 •30 -
�9aBe / ContrarY irde6letlrress unpaid as of Mwt
MarU 7, curtenl r tlate
a '� `Z L�..
name m record is ddferent than that W aPP�• �inte Eebv.:
�� �
Name o� assignee w oNer owner or hdder ot morigage
Remrti number � Page numOrJ
az
If owned wiN someone other than spouse, indinte with whom
�,. -._.�- � 7�
SP�DE, NANE� � �'��Od�
Addrcss of assi�ee (number antl slree4 my. slate, and LP ca
p�opeM1y in any oNU � If yes, v
20 � 20 � 20
(.�uS�K,�J� �v/fNs
�9U, �G3�
COUNTYAUOROR
20 I 20
Counry
No
�OertY in puestim: MnuaM Assessetl
�a�v ❑/��a�N�
Modle Home IC 61.1-7
z
w�, � ����� �, �
... �eaR � No
Yes
20_ 20_
Date (monlh, daY• l��
I I We certify under the penalty of perjury that the aDOVe and foregoing intormalion is We and cortect anA ihat Ne appiirant is a resident ot Indiana and
ovmer I contract buyer of the afaeme�rtioned property on date applicatlon is filed.
tity, slate, an0 LP mde)
lWOnlSUlil� r�
or oy ic si.i-�z-0.�
Pddress o( authtt'vEd persan (numberaiM sneeL �Y, sble,
Date (monlh. OaY.Yea�