HomeMy WebLinkAboutMortgage_Paris"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
FOR DEDUCTION FROM ASSESSED VALUATION
Stale Form 43709 (Rt t/ 6-09)
� � Presai6eE by OepartmeM af Lool Govemmerit Firmnce �
F M
INSTRUCTIONS:
To 6e (led in F� m� ��:
person w by mail wifh the CountyAudito� or Counry RecoNer of fhe counry where the properry is located. t� /� �
Fil'mg Dates: 1) Real Properfy: Musf file during the year for which fhe deducfion is soughL P�4 pp �ditnr
2) Mo6de / Manufactured hbmes not assessed as Real Property Must file during the twefve (72) months
belore Ma�ch 37 0( each ye&r the deduclion is sought. ❑ Cwmry Remrder
See reverse side !or additional instnictions arrd qualifications.
^DP�°"�°M 1°f_°""�"A"''�`-� `� e� ' (31BSON COUNTY AUOITQA
��d��
� t. a.ma y�ar
ro. what is h'a / 1w eu�t
name at
or mnUaU se0er
=�t=�ioo 00 0. g 14- oi 8
Mor(qage / Contraa'udehteEness unpaN az N Mutga
Martl� 1. atrent year da(ey�
uMiWffi Delow
AAdrnss d tmtgagex ar mntract se�er (nwn6el and shaeL �'dY.
Name of assignee w oNU ovmer w hdtler of mmgage
AEC�ess of assignee (numher antl ahee4 ary, stefe. anc
anyi
Yes
D�uction epprovad in Cre amount of.
�— I p
AuOimr
H mmeE
�A2is, Tlk� �Dt�otE �-
daio - i�vo
Counry
hWebteMess unpaid as d
Yes L J No
oCw1 ihan spouse.
is Ihe praperty in puesDm: MnuaDyA1sessed
❑ Real Property ❑ ArmualF�r Assessed
Modle Home (IC 6
Nas Na deductim Ecen reVUested m P��Y
Far wrren� YeaR i--� _ . �--� .
� I �
re�d
I/ e certify under Ne penatty of perjury �hat the above and f<megoing intortnation is We and cortecl and tha[ the applinn[ is a resident ot IfWiara aM
er I mntract buyer of Ne afaementioned P�rtY on date application is filed. -- ---� - -�--
'�reT/I ..uGI� � I Li�/7t�� Date (/nanfi. daY.Yee� _
Pe�son auNn�d
person (number a�d sfreet �: sfafe. an0 ZIP mtle)
` : I oar� p�m. ea,:,ean
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