HomeMy WebLinkAboutMortgage_Armstrong"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS T Year /�
__, : FOR DEDUCTION FROM ASSESSED VALUATION
• Sfata Fortn 93709 (R11 / fi-09)
�' � P2saibetl M DePa�M of Lacal Govemrtrerd FrwKe
INSTRUCTIONS: c �'��
b 6e filed in person w by mail with the CountyAUditor or Counry Recorder of fhe county where the propeRy is located. ��' F ���
Fifirg Dates: 1) Real Pioperty: Must file dunrg the year for which the deduc[ion is soughG unry Aud'Rnr
2) Mo6ile / Manulactured Homes irot essessed as Real Property: Must file during the M�elve (1�IB8(g'�
bePore March 31 0/ each year the deducLOn is sought. C� T p ounty Recorder
See �everse side /or addifionaf inshuctions and qualrfications.
I MP�icamlowrer orpao�� 6uyq'see msvct9�w m rererse sidel �
vr_ c
�ed raWa of real oiwem' as o(
1, p�mrt ym
tt ro, what ts hfs / her eraC share ot intaest?
If rume m reco�d i5 S�RUent Nan Naf ot aPP�M. �ifate belaw.
morrt�agee n contraG seller
other awner rn halder d mortgage
`�.z:ra
state,
AGCress of aitignee (nUmber entl s0ee4 my, slNe, antl ZIP coCe)
Does aPplitant own property in any other If yes. what oouny7
cou�LLy m Ind'ena? r-i .. r-i ..
c�
m ma ��c or.
20
�a��
20 20
Record number Page numbrl
,5 -oa o 0 5 3 =
as W Morigaga I Contrea udebiednrss �mPaiE as o! Is ihe eOW�� Me mk
date o( appGcatim Iegal a epuitade owmM
❑ Yes ❑ No
' ovmed vriN someone oNer 4�an spa�se. u�drate with whom
Is tM property in Questim: MnuaM Assesu0
❑ Real RnPenY ❑ ����Y�
A2rn��o,v�,
4��
doio -S3� 3
— z°— 2°—
Caum1' Date
eQueste0 m P�pertY
�Y. Y��
20 _
1/ We certfy uMer the penatty of perjury that Ne above and foregdng intormation is we and cortea arM that Me appii�ant is a resident of Irdiana arW
axm � contract buyer of the aforemeMioned PropertY on date aP�Mation is filed.
I (dxne name) Date (nmtli, daY. Ye�
n
0� O/ appGCant (numDe� L dQ' sb LP ootle) ��� O
Y {G
rson authoraetl Cy duty ez W Att�neY a M IC 61.1-12-0.7 Date (monlh, day, yea�
MCress ot auCrarseE persm (num0er aM sbeeL �y. sfafe.