HomeMy WebLinkAboutMortgage_Jones"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
. FOR DEDUCTION FROM ASSESSED VALUATION
• Sfate Fwm d3709 (R71 / 6-09)
� PreunbeO Dy DePartmeM af Loml Gavemment Frence
.'
INSTRUCTIONS:
To 6e Red in person or by mail with the CountyAUditor or Counry Recorder o( the county where the pioperty is located.
FiNrg Dafes: i) Real PmpeRy: Must fi1e dunrg Ihe }rear for which the deduc[ion is soughL
2) Mobde / ManWaUUred Fbmes not assessed as Real Property: Must file dunng fhe tweNe (12J months
betore March 37 of each year the deduction is mught.
See reverse side for ado'itional inshvcGons aM qvalifications.
2�� 1
iry Audrtar
...�_..._._�.."_'_,z. ^_:�...._. _.._._._.r._, . .
i
L+ ��-
Distria . KeY num6er / legal d 'Ptim Rew�d num0er Page numbef
�. a -o�-a3-3�o-000. �-,�- 0�8 a-o�r �s
ed vaNe d real P�PenY es of MMOage / ContraG intlebtedness unPaid as W Morigage I Contraa iridebteMess imGeiE as d Is Ihe eVP��t tlie sde
I, aa�e�v year Marrh 7, wr2nt yrar tlate o( appGcatm legal M equRade ovrtiM
i� 7. d O D ❑ res ❑ No
r, m. wna� s na i ner e.aa snare a Nteresr.+
If rame on recortl's WRe1mt Nan that af aPp�nt,'udk
Nama of mMga9ee or rnntrac eUer
Pddres ot rtart9a9ce w mn c1 seAer (n raM
Name d assignee w oUUr ormer or halder of mortgage
Nr sw
dicant ovm property in any oNer
Indiana? ❑ Yes
�
No
street rily. state. aMZlPcode)
LP m0e)
S -!-/ f
If yes, what muntyl
rc o�med witA mmeane other aian sv�e. tr�e wm� whom
� mF3 G �U�J�S
,.,,,,e-- Tb►� /A K �°��
a���-.��5
/.I�tSS A�
Wt�2� Ta�o�9 DsNtY> Has Nit d�QiOn 6ee� aq�eSleE on p�op�y
f���� ❑ Yes ❑ No