HomeMy WebLinkAboutMortgage_Hunter (8)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township vear
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; FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R71 / 6-09)
,�,� Presaibetl by DeO��rd o1 Lncal GovermmM Firerce
File Mark
�STRUCTIONS:
To 6e filed in person or by mail with fhe CountyAutlitor or Counry Rewrder o/ the county wM1ere the pmperty �, w�me 'm
Filmg Dates: 1J Real Pioperty: Must file dunng the }rear for which the deduclion is sought. � unty Auditor
2) Mo6de / Manufactured Homes not assessed as Real Property: Must Ae dunng Ne fwefve (12) months �nry Remrder
ver«B Matin s� o��, r�arme aea�� a�nt. NOV 2 3�1
See reverse side for additional instructions and qualifications.
MP�� ( �wconfra�er-see�ayVmL°^s°9r➢versesitle) n � . .w— C.�.
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Ass¢sed vdue cf ma1 p'openy as of M�q� ge/ Contrarl iMeCtedness unpaid az o( Mortgage / Contracl i�Mebtedness unpaiE as d Is Me applircant Ma sole
M3rU 1, pmnt ymr M11� 1, t ye2r Oate of appfxalion 1eg21 or epUilable ownrl.�
D ❑ Yes ❑ No
If ro, what k ttis / her exad share of interest? tt awned vriN mmeore dher Man spouu. indimfe wifh xiwm
If name m remrd "s Grttuent Ihan ihat W appiiran� cd�te Gnb�r. Is me properry in Qunstion: Mmialyl�ssrsse0
❑ Real Ptoperry Q Mnually Assessed
Name af mongagee or convact
Atldress d macgagee or cantract se0er (nun �� O��
DI'811'CI" �0...�.-......
Name ol assignee rn aher ovmer or hoWer c
Adtlress of asvgnce (numDer aM saee4 �1 C i� �� � � O. . . . . � �. O�. . . . . . .
Oces aDWicant own V�P�Y in anY dher Has Nis detlutlian Oeen requesteE m p�operty I
munry in Ind�ana7 r.l No I I for w�rent yea(.+ ❑ Ves
n Yes ❑ No