HomeMy WebLinkAboutMortgage_Feagleyry� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year �
FOR DEDUCTION FROM ASSESSED VALUATION
�• State Fortn 93709 (R11/6-09)
� � Presaibetl by DepartrtreM of Local Govemment Friance
INSTRUCTIONS:
To be ned in person or by mad with the CountyAuditor or Counry Recorder o! the wunry where fhe pioperty is lorated. FE
Fl7ing Dates: i) Real Property: Must file durirg the }rearlof which the deduction is sought
2) Mobde /Manulactured Homes rrot essessed as Real PropeAy Must file durng Me hvelve (12) monfhs
6etwa March 31 of each yEar the deduction is sought. C�
See reverse�ide for addrf'anal instruUbns and qualifications.
Aoofra If rocmnfiacfbuwr-aeerasbirb"m reversesidel w i-.. _ ��N
Key
� rahia dmal AW�Y as ol
1, wmLL year
Tat fs his / tcer exaG share oi interesi?
rc �wne o� remra
�ee or mntrati se0er
mno-aa seoer
=0� � N/- �D-Od 3. `75'0-0/
t.lwfpage / Contrati intl�ted�ss unpaN as N Mortgage / ConbaG ude
Mart�h 1. a�rteM yeer date af appfimtnn �
N awne0 vriM someone oNer Can
Name a1 assignee w otMr wmer or halder ol morigage
�
I I WE
owne
(n�mber antl stree4 mY• �, aM
app�wed'e� ihe amoum ot
crty, state.
i
, S • . .
Drawer NO..�� � �
Card No. .... 5�y�.......
oN6 ��,g933.�1.
app uant � ran0 s8ee4 dN, sbte, a�u ... __
53s9 � s90 7� o��4.y dn Y�Ll�4
Person auNOirzed Oy duly exewteC Power of Atlomey m by IC &1.1-12-0.7
Addren of aNhor¢ed person (numOareM sbee4 �y, sb�e. entl LP wtle)
COUNTYAUDROR
�0 20
c«m+r
I -U —CbuntyAUditor
9, mty Remrder
,
) Q ��
as d Is ttre apP6�ant tl�e sak
kgal a e�uimme o+/r�c(1
❑ Yes ❑ No
with �N�wn
I�sJf�e propelty in Question: MnueDy Assesutl
#J Real RoPertY ❑ Armua�I!Asse55ed
20
oace (�rn. aar. r�A
�i
�_
ig infomiation is we and correa aM Nat Ne applirant is a resident of IMiana ard
ation is filed.
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