HomeMy WebLinkAboutMortgage_Kerr"�� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Y
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FOR DEDUCTION FROM ASSESSED VALUATION
• Slale Fortn 43709 (Rt t/ fi09)
�'` ,w f Pr¢5ai0etl by DepanmeM of Local Govemment Frenca
File
INSTRUCTIONS: Fmn med with:
To be filed in person or by mail wiN fhe County Auditor or Counry Recorder o/ the county where the property is located.
Fifirg Dates: 1) Real Property: Must file during the year for which the deduclion is sought. ��'
2) Mob�7e / Manufactured Homes not assessed as Real Property Must fife dunng the fweNe (12) monfhs �
6e(ore March 31 of each year the deducfion is soughf. ❑ County
I
See reverse side lor addifional instructions and quali�cafions. ,
A�s,ed vdue af real Prope�Y as W
AIafU 1. tlment year
tt m, what is his / her e�or� share o( ii
If name m �em�d b 6tfe2nt Nan Ma
me of mortgapee w mntraa u4er
�.�
��
ud'�te be0ve�
- UDU.
-O/ � IR �I �
t9a9e / Contraa'uMehtedness unPaid as d
¢er date
�t ownea witn :
PddressofmornJa9eeamntractsr�erl �1 7\}'�'�' �iQ..�.��a.....
�a ��� ,� o. . . . a � .�: .1.... . . .
8ade ovmeYl
Yes ❑ No
,�RIs property in QueYim: MnuaDyASSessed
eal RopertY Q Prnuaily Assessed
�.��,o�„a,.,.....�.o.ww__ Co �- o o�a.sn�tc
Does aPP�innt ovm property in any oWer If yes. what count}? Wha1 Tad�g Distrid? Has Uiis detluGion Oeen requestetl on Property
munry in Intliana? n Y� ❑� Por anmt yr,aY.� ❑ Y� ❑ NO