HomeMy WebLinkAboutMortgage_May°'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
__ FOR DEDUCTION FROM ASSESSED VALUATION
� State Fartn 43709 (R71 / 6-09)
�' "✓ Presaibed by Deparbr�ent of La�l Govemment Fuaxe
w
� wsraucnoNS:
To be filed in person w by mail wifh the Co�ntyAudifor or Counry Recolder o! the couniy wAere the poperty is bcated.
Filing Dafes: 1) Real PropeRy: Must file during the year for which the detluclion is sought.
2) Mobile / Manufactured Homes �rot assessed as Real Property: Must file during the M1veHe (12J months
before March 31 ot each year the deducfion is s[wght.
See 2verse side /or additional instmcGOns arM qualifications.
AppGCant (o r w wnGa� 6uye� _ see mslni^1iq�t m rever�e sitlej�)
ed vdue d rral property as of
1. da�ent ypr
If no, what "s ha / her exad
on
—..- -�.��.
Mortgage / Contraa 4�Ee6tedness unpaid as d
Mard� 1, wrtent year
Name of mortgagee w mntrafl seqe�/�
Address of matgagee w contract seAer (numbe` aM sfreet city, sfate, aM ZIP code)
I Name W assi9nee or oMer ovmer ar hdder of mortgage
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If awned wiN
County AudiWr
CdUn�f Reoorder
�O �j, i � ��
Con iMebtedness unpaid as o! Is Ihe ePW�t Ne sale
m,(�/ legal or eQUitade ovm�t
. �N/U ❑ Yes ❑ NO
spouse, iMimte with wfwm
�RIs pfopertyinQuestion:MnuallyASSessed
eal PtoPenY ❑ ?^^!�1! �
�/�� �30�
PUlYi�1:7
_ , Z�
:aunty
�� a��� �n
20
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Yes ❑ No
Date (�. day Y��
20
lion is We and cortect and thai the applitant is a resident of Indiana arW
ed.
Date (monUi, daY. Y��
9—in.- /')