HomeMy WebLinkAboutMortgage_Ridge"'r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_._ + FOR DEDUCTION FROM ASSESSED VALUATION
� � � $tate Fom 43709 (R71 / 609)
�' � Presaibed by DeP�nt of Local Govermienl France
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NSTRUCTIONS: �i ry�g�
P Y �Y N ty woa�m rs ro���. A� F��� 1 L�
b be �ed in erson w b mail witb the Coun Audito� or Coun Recorder of the coun where Ihe p
Frling Dates: 7) Real Property: Must file durrng the year /or which the deduc[ion is soughf. County Auditor
2) Mo6ile / Manulactured Homes rrot assessed as Real Property: Must file d�nng fhe twelve (12) months
before Ma�ch 31 of each year the deduction is soughG C.� � M° nty Remder
See 2verse side for additiona/ inswcfions arM qualfirations. � .__„ .,,,,,.rnp
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��'n OisUict' Key ium0er / legal desaiP� (� RemN number Page num6er
ir�tio�►� - 8-i3 -�oo_ 000. �a s- 0.�5 �i7�
Assrssed vaWe aF real ryoperlY as ot Mortqa ge / Contraa in�ebteE�ress unGaid as N Mortgage / Con�aC indebiednass un7aid as d Ls Ne aP�f Ne sNe
MazM 7. anenl Year Marrh 1, a�rterrt year date of aPP�� kgal a eWitade rnmeYl
�_S D � r7 ❑ Yes ❑ No
tt ro. what is his / her exaU share
It nart�e on recoN
Name oi nrutgagea w mntraa sener � �` �
� �'y p �
Address of mortgagce w mntrad se0es (nvn6er end streeG city, s
name ot assignee w ourer awner or �aer oi mongage
Mdress ce (number aM atmel,
T NE N
Oces applirent wm pmperty in any oNei
muntyinlndana? � ..
ihe amount of.
20_ � 20_
H owneE with someone oNU than spouse. indicate with
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[ county7 What Tadn
COUNTVAUDROR
Is Ne property in Vu�tion: MnuallY ASSessed
❑ Rea� Froperty � nrmuany wsse�d
- -- — - __. . � Modle Hort�e (IC 61.1-7)
Drativer NO.. ��l
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Card NO. ..U!�
�.T F� G . �FsS,000. d°....
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�� � � ❑ Yes ❑ No
20 � 20 � 20
Counry
rir, ��
oate (,rnnu,. dar. Nean
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I I We certify uMer the penalty of �ryury that th��bove afW foregning infortnaUon is We and mrtec[ and ihat the applitan[ is a resident of Indiana afW
' owner I wntrad b�yer of the afaementioned pr�iperty on date applitation is filed.
� ' raWre (owneh fiAname) Date (mwWt. tlaY•Y��
�/ fesidentadCress fappficant(nu/n6era 4 sbfe. �LPCatle) ��
{ -� � �-�1 4�(v4-
Person auttror'ved Dy duly executed Power of Attuney ar by IC F7.1-12-0.7 Date (monlh. day, yse�
Address ot authoraed cerson
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