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HomeMy WebLinkAboutMortgage_Brown (2)d ^_, STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Count 7ownship vear -a __ � FOR DEDUCTION FROM ASSESSED VALUATION S� � Stace Form a3709 (R7t / 6-09) ��"���• PreSaiDea by Oepartment at Lacal Govemment Finance STRUCTIONS: � To be (!ed in person or by mail. �v� �aetl .vcim: 1 Filing Dates: i) Real Property: Muaf 6e completed and tlatad in (he calendai year tor which fhe tleduc[ion is soughL O O j� I Musf be filed wifh fhe Counry Avdifo� or Counry Recorder of Ihe counry where Ihe propeRy is locatetl �o��iiy �udi;or on or 6e/ore January 5 01 fhe immediaiely succeeding calendar yeac �_�- aty Recorder 2) Mobile / Manu7ac(ured Homes not assessed as Real Propetly: Must �le with the CountyAUdiro� ol the covnty where the pmperty is located dunng (he nveNe (72) monihs 6elore March 37 of each yeai the deduction is soughr. GIRR(1u Cni �urv e� u, r.,., .. ___......_...,..,. See reverse side !or additional instmcfions and qualificalions. Ap0litant (owne/ or tontrdci buyer - see 2sfittions on mverse si0e) Robert W. Brown Taung Distnn Key numCer / legal Cescnplion Record numDer Page numCer White River 26-0558-024-002.031-018 aQ � � 9 Assesud raae d real prope .ry as o( Mwtgage / Convacl indebtedness unpaie as o1 Mortgage / Contraa iMebteEness unpaiE as ot Is Ihe appliwnt �he sde Alarch 1, arrent year Marct� 1, wrrent year date ol apdication Iegai or equi�able owner7 s�s�,ioo.00 s�so,ai�.00 � ve5 ❑ r,o II no, whal is his / her exaa share of interest7 If owned vnth someone other than spouse. indicate wiN whom It name on remrC is CiP.erem Nan that of applicant indicate �elax: Is me O�operty in Quesuon: Annualty Assessed Daniel Olds Q Real Property ❑ Mnualty Assessetl Mobile Home QC 6-7.7-7) Name of mortgagee or cantract seller Mortgage Masters of Indiana, Inc. Adtlress at mortgagee or contract seller (num�er antl streef, ary. stafe, and ZIP code) 7144 E Virginia Sireet, Sie A. Evansville, IN 47715 Name of assignee or oNer owner or hoNer ot nqrtgage Flagstar Bank Atltlress ot assignea (numbe� and sbeat. city. sfa:e. and ZIP code) 5157 Corporate Drive, Troy, MI 48098 ��es applicant own pmperty in any oNer II yes, what cauny? What TaKing DiSMCR Has this tlaCUCUOn Ceen raques:ed on pmperty �unry in Intliana? �or curzent yeall ❑ Yes ❑ No ❑ Yes ❑ No