HomeMy WebLinkAboutMortgage_Catt'°n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
Sfate Fortn G3709 (R71 / fi-09)
, Pres�ribed Ey Departmerd of Laral GovamrtieM Firance
INSTRUCTIONS: �dµI
To be filed in person a by mail with the CountyAUditw or Counry Recorder o( Ne munry whele the property is bcated. � 1� 2 � � �
Filing Dates: 1) Real Pmperty: Must fife dunrg Ihe yaar for which Ihe deduction is soughG � Counry Auditw
2) Ab6de / Manufadured Homes not essessed as Real Property Must Ae during Me hvefve (72) monfhs
before March 31 oleach year the deduUion is sa.ght. � ��^��d�
See reverse side � additional inshucUOns and qualificafions. 6}gS.gH 2@�rv-i-i= rt�8tro'ir�
I MWmnt (owrer bN'ar - aee r@spirbms Mlarerse side) � � A.
`� ' ' uU� VV• t1.i V(
Assesse0 rahie U� poperty es d Mortpag e/ Contraa 4de6tedn¢v unpaid as W Mangage I ContraU
Ma�d� 7, armrt ym Merd� t. Eate of ePP��
rc na �7+at h n"a � trer eou sl,sre ot mteress9 rc mN,ea .;m snrt�mre other �
tt rerne m remftl's d�rtemnt tl�an tl�at of aOP��l tr�Ekam Eebw
t�arre at mm¢ayea «mno-ars seae. '-� l�tA.0 U,�L.M.JL l.C'J..t
Aedress d rrorc9agee ar mntraa uuv (nuMer end street �'1: 5am. ar�e code)
Nartre of atignea or oNm o�met or holdm d rmtpage - � .
Pdtlrnss ot asprea (numEe` arM street �: se
Does eppl'�nt awn pOpEM1y in anY ONV i �` �./
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20 20 _
itlne U Camty aiditnr
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Pasm aulliorveE
N Dra��•cr 10 ...................
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Na penalty W pe ry tt�at the above ard
yer M the afore tioned rope
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Rewrd
dta618 ov/ne(1
Yes ❑ NO
Fs Me P�O�Y in 7uestlon: M�u+aDY Assnsetl
❑ Rea� �o�nr ❑ i+m,!,a�N a�d
:tea m propvty
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�My Dete (rtanN. tlaY. Y��)
g infortnation is true and cortect arW Mat the appli�ant is a resident of Itdiana aM
ation is filed.
Dam (morrth. deY. Y�+1
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