HomeMy WebLinkAboutMortgage_Stallings.e=—•n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
°i ._ k FOR DEDUCTION FROM ASSESSED VALUATION
S�ate Farm 43709 (R8/ 2-07)
�0�;- � Prescribed by Depanment of Local Govemment Finance
INSTRUCT/ONS:
To be l/ed in person or by mail wdh the CounfyAuditor ol the county where fhe property is located. �,/� AR ���O�J
Filing Dates: 7) Real Property.� During the 12 months be/ae June 11 of the year fhe deducUon is to be efleclive.
2J Mobile Homes assessed under IC 6-1 J-7: Behveen January 15 and Mamh 2 0l the year the deducGin is to be e9ec6ve.
See reverse side /oi additional instructions a� quali�cations. ,
Key n ber I lega
� ,
�����;�,:����
exacl share
an recwd is
Name of morigagee or contract seller
Address of rtwrtgagce or mnlrac7 seller (number arH 5reet,
or dher aaner or holtler of mrnigage
Doas applicam own pr.
counry in Indiana?
�
I I We certify �nder lhe
Indiana and owner of tl
-�d0: a��r0 ap
irdebledness unpaid as W March 1,
and ZIP cnde)
Dra���cr• NO.:°Z��........
�����.io:�.. $a9...........
'�1�(�43. �
of
applicant (number end street.
someone
Whai Texing DisUicl?
Y AUDITOR
_ 20 _
Counry
iCOUNTV
Record numl
Is Ne app6cant Ihe sde legal w equitaWe wrtieYl
❑Yes ❑ No
n spouse, indicale with whom.
Is Ihe property in
� Real Prooerf
wrrent
20
❑ Mobile Home (IC 61.
been requestetl on property
❑Yes ❑ No
the above and foregoing intortnation is We and mrtect and Ihat the applicants was / were a
�erty on Marth 1. 20
� Date (manth. eaY Y��
Person aulhorized by duly ezewled Poxer af Niwney w by
entl ZIP wde)
persa� (number and sfreeC cify. state, aM ZIP code)
Date (monN. EaY• Y��)
20