HomeMy WebLinkAboutMortgage_Longabaugh"^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
, FOR DEDUCTION FROM ASSESSED VALUATION
Slate Form 93709 (R71 / 6-09)
�' Presainea br ��� � � Govertunem Fu�ance
INSTRUCTIONS: �
To 6e filed in person w by mad with the CountyAutlitor or Counry Recoider of the county whele fhe properry is located.
FiNrg Dates: 1) Real Property: Must file durrrg the year for which the deductbn is sought.
2J Mob�7e / Manufactu2d Homes rrot assessed as Real Property Must file dunng Ihe fwelve (12) months
be/ore March 37 0/ each year the deduction is saght.
See reverse side 7or addtional insnucGons and qual'dications.
� or 6uyer-see mre e)
� G
�T ,� � ,,���"�' -o a- o�. 0.3_6/8 �
I���� Wo7�y es W Mor(qage / Contrau Indebtednrss unpaitl as W Mongage I Contrars iiWebtetl�s unpal
'�. MarU 1. ancR year Mart�h 1. a�rtent year Eate of aD�tion _
tt m. whal Ls h'a J her e�tl �Jare Ot intelrsll
tt rwne m �emd's R,Re2nt than that af appOtaN,'uNUate Oebw.
�
�
1
nnrtga9ee or mntraU seller �
of mortg�gce w wntratl se0er (n r and stieet �}: te, aM
Name af assiy��ee or aha awner w haiOU of mortgage �
�
Mtlress o( astignea (numEC antl Uree4 �1: sbie, entl LP code)
Dces epplifant avn property in eiy dtrer It yes, what munty�
munry in IMa'u?
❑ Yes ❑ No
L-ouGAaaccG'i�, �s�%ui+ g
LZ3F+ �-
. o70/U- (� /� �/
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AUDROR
sPO��. ma�te wn
I5 epropertyinQ�
RPaI Property
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kgal a eqa�lade amdl
❑ Yes ❑ No
wlrorn
sdon: MnuaM 0.ssessed
•� �
_ Za 2� _ 20 I 20 _
Counry Date Qrmth. daY. Y��
aM (oregoing infortnation is We and correct ard that Me applicant is I residerrt o( IMiana and
n date applicatlon is filed. �
� Date (nnnM. daY. Ym�
AWy uewte0 P�er alAttomey w by IC C+1.7-12-0.7
peison (number arnd 5bue4 �Y. state, and ZIP code)
' _ 11..�-