HomeMy WebLinkAboutMortgage_Braun"'* STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS 7o vear
__ : FOR DEDUCTION FROM ASSESSED VALUATION �
• Stata Fortn 43709 (R71 / 6-09)
�' f PresafOed M DeD��M of Locai Govemment F�nce
File a
wsrRUCnoNS: A F����_
To be filed in person w by mail wiN the CountyAuditor w Counry Recnrder o/ Ihe county where fhe properry is located.
F7'ug Dates: 1) Real Pmperty: Must file dunng the yearlor whirh the deduction is wught. ��✓�� q�di�
2) Mobde / ManWactured Hortres no1 assessed as Real Property Musf hle d�nng the tweNe (72J months 6�a-i
6ePore Maich 37 ot each year Ihe deduction is sought �f Co Recorder
OR
Sea reversa�cide !of addiWnal instrucllons and quali/'ications.� GIBSO
AppGrant rwconvarl6vyer-�eeercstriUion�5Q�2verseside) ,
ed vdue of 2al poGerry as d
1, anetrt year
Key rvanber / legal desaiption
- sS -
^ Mongage / Contraa Intle6te
Mart�h 1, arteni year
47 t��D
If no, what Is his / her exaa share o( inte25l? "
tt rartie m n.md is Gifferent than that of app�cant uid'vata Eebvr.
Nama o1 mwtgagee n contraU seller � T F L U
PdEress of m�rtgag� w mntrad seDer (number end saeel, cdy; state. and LP cade
Name o1 assynee or oNe� ovmer rn holder of mortgage
Add`ass ot assignee (number eM sbee4 mY. stete, and Z/P cade)
Ooes appfifant am propeny in any oNer It yes. what counf/1
munry in Indana?
❑ Yes ❑ No
�a�
DeduCliOn approved In Ihe amounl ot.
20 _ 20 20 _ 20
-000. o�Y-oi8 � aoo 9 �.�Y�i a-.
d as of Mortgage / ConraG indeMedness unpaiE a W Is Ihe app�ant Me sde
tlate of appGfation legal w eQUitade ovmeR
❑ Yes ❑ No
Y, owned xith mmeona other Ihan spouse. trdimte wM whom
What Ta�dng
AUDROR
'� �� ��� I.�,..,
i I We certNy unde e penatty of rjury that ihe above and foregoing infwmation is
owner / wntract buyer of ihe aforemerrtioned property on date applira0on is filed.
antl
���iUGC7
a ey ic �i.,-,z-0.�
auNOmeO per:m (num0er arM sLee; riry. stafe,
� i
Ls Me property in 7ues0on: Mmia�y AssesSed
❑R��RY ❑�Y�
- - . u.�u1n Fwrw ��
��� ��Ms-�
�� ��
��11,�•0�
a���
3yia
��Y
❑ No
fiana and