HomeMy WebLinkAboutMortgage_Armes (2)"`+ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship vear
j .__..
: FOR DEDUCTION FROM ASSESSED VALUATION
� S1ate Form 43709 (R71 / 6-09)
�� f Pfesaibatl by Oepertrteril of Local Govemrtrerd Frarcx
„�
ISTRUCTIONS: �d
be filed in person w by mail with the CountyAuditw w Counry Recorder o7 the wunry where the properry is locate� OV F�L u 1�
Frl"mg Dates: 1J Real Pmperty Must �le during the year (or which the deduction is sought. Counry Audimr
2) Mobi/e / ManufaUured Homes rrot assessed as Real Property.� Must fi7e dunng the lweNe (12� montFLe �
befora March 31 o/eaGr year the deduction is sayht Cou�b Recordu
See reverse side for addifional instnrctions and qualifications.
MP� (owrierorconfraCbuyer'se�rcstriytnns9^2ve+seside) ' _
1
Key rcimCer / kgal desaiptim ♦
a�-o�--a -�oS�-000. yos-oa-o
pupeny as d Fbrtgage / Contract ud�tedness unpaitl a of Mortgage / Contrari'vide0t
MarU t, tullent Ye� Eate of appfKation
^ �> >� �- 3 �, o00
ro. wlat 5 tus � her exatl
If nar� on rewrd is Wtuent Nan Nat of appfM�nt, tr�ditate bebw.
Name or riartgagee «cantrarl se0er
Address of mM9a9ce a contract
owner or ndou at mortgage
�r�re,
wmeone
Adtl f assgnee (numDerami sbeeC tlry, sfate. and Zl�Tj /� / ^�
,
,z o �
Dces applicant ovm property in anY oNer If yes. what munt�/t VJhat Ta�d�g OisGid7
��uy��i�a�a ❑ res
❑ No
Deaucom appfwed in Ne artaunt
20 _ � 20
Sig(aLrte
I I We certlfy under the penal
owner I contrad buyer of Ne
i�ttWre fownerS lutl nem
20 _
Ihat bc
ne/d� perl
?ef," dry, stat�
mey or by IC
Pddress W aW�oraed persa� (numberand sbae4 ary. sbte. antl
20 I 20
arW foregoing infortnation is We and cortec[ arM
n date application is filed.
spouse,
Recotd rwmber Page munber i
aon� ��45
impai0 as ot Is Ne appfxant Ihe sok
legal w eQUitable owrrll
❑ Yes ❑ No
Is Cre property in Question: MnuaOy AsscseE
�eal FvPertY ❑ MnUallylvsessed
. , w,w� w,rta nr �
Dra�ti�er \`0...°.?�U!......
i : � . y .
Card \To. .. �a9 5:.......
� 31,cx.�._°
20 20 _ I " .
Date (rtmN, tlaY. Y��)
applimnt is a resident of Indiana aM
Da[e (rtanN. tlaY• Y��