HomeMy WebLinkAboutMortgage_Abel"' STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ � FOR DEDUCTION FROM ASSESSED VALUATION
• SFate Fortn 43709 (R71 / 6-09)
. ! / Presbibed by Departmenl of Local GovemmeM Finance
�' � � File Mark
�TRUCTIONS: J
e
To be filed in person w by maii with the CountyAud"nor or Counry Recorder o/ the counry wFiere the pioperty is bcated.
Frfirg Dafes: 1) Real Property Must file dunrg Ihe year for which Ne deduction is sought. unry Auditur
2) Mobde / Manufadu/ed Homes not asseued as Real Propelly Must hie during the nveHe (12J months
6etore March 31 oleach year the deduction is mught. • �`�, ��' Remrdu
See reverse
I raM1�c �d mal RoO�Y �
anefa year
C�
Nan ihat N aV7�^L IMirate Gebw:
Name af �cro or mnUar2 seAer
� Pdtlress of mort9a9ee a cattred srd
Name of assignee w aetrei awner rn Y
MOre55 0l assynee (numDer eiM suee4 my. s'ere, a+w �
Ooes epplifant own propeny in any oNn 1
munrymind'ana? 1"1 .,__ fl .._
DeducGOn appwed'v� the amoun
20 _ 2q
Signa Ca .ry
»�' yYe certify u er Ne pen
v.mer / contra buyer of tF
SiHnaW�%luaawrs fiitl name)
�
R¢corC m�mMr Page rwm0er
- .��-a a�a
Iga9e I ConSa�t udebted�xss �m7ai0 es d Is Ne aPP�� the sde
i ol appGation legal ar eW�taNe owne(1
❑ Yes ❑ No
sortrane aher ihan spouse. Indi�te with wMm
is me o�v�r �� a��: a,��any nssesseo
� ❑ Real aioperty ❑ amuaM wsseued
Mobile Fiort�e (IC 61.1-7'
s sbte. arN LP ooae) _'
�BE"L� ��tt,�-� �--
�� i� /
�D/D �d�d
h's tleCUCion Deen re9uested m piapelty
irrem Y�n � Yes ❑
20 I 20 — � 20 — I 20
� I �� �BC� 5�.1c�
above antl foregoing infwmation is true and correa
�M on date aDW��lion is filed.
iesiCem aEdress of�aPPfi?antCnumDerandsUee4 �; �fe. ard LPmtle)
�
�n aupqr�d py dWy ¢x¢pitW Power W Anomey or by IC 61.1-12-0.7
ms of au�u'vrd G� (numbaraM 5Cee4 �Y. sbrv, and LP cotle)�
� �_ - � `
I l /" /— / T /�
applinnt is a residem of IrWiana and
6ata (rtorvh, daY. Yms/;
Dab (monfi. tlal: Y�� �