HomeMy WebLinkAboutMortgage_Beraglia��nv STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun sh' Year
z• �\ *: FOR DEDUCTION FROM ASSESSED VALUATION
' State Form 43709 (RN / 6-09) Gib50n
�� �� � PrestnDed by Department of Local Govemment Finance
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INSTRUCTIONS:
To be �led in person or by mail. Fwm fuetl vrim:
Filing Dates: 1) Real Property: Must be completed and dafed in (he calen0ar year (or which [he Cetluction is souqhL C. . uditor
Musf be lled with !he County Auditor or County Retorder ol [he county wheB the property is located
on or be/ore January 5 0l the immediately succeeding calendar yeac ❑ Co ry� rtler
2) Mobile / Manutactuied Homes nof assessed as Real Property: Musf (le with the CountyAuditor ol !he GIB ON COUNTY
county where the property is /ocated dunng fhe hvelve (72J months be(ore March 37 0! each yeai the
deduclion is sought.
See reverse side 7or additional inslluctions and qualifications.
Apptiwnt (owner or wnVact buyer- see resfictions on reverse side)
James P. Bereolia
I vaNe o� feal property
curtencyear
�( no. what is his / her exact share of ir
50%
It name on recortl is di3erem than Nat
Key numDer / legal descriplion Remrd number Pa a number
G- - o/-oQO, 5�d�� _o�� oio �a3
Mortgage I Contracc indebtetlness unpaitl as of Mortgage / Contract inde6;edness unpaid as of Is Ne applkant Ihe sole
March 1, curtent year data ol applica�on '` legal or equitaWe owner7
S�(f U ❑ Ye5 ❑� No
:erest7 If owneC with somaone oNer than spouse. indiwte with whom
Rvan M. Dunn
Name of rtangagee or wnVaa seller �
�
Atldress of rtwrtgagee or contract seller (number antl sh
Name of assignee or other owner or hoWer ol rtrortgage
Address ot assynee (number and sfreet, ciry, sfa7e. and
�ces apolicant own pmoerry in any other
counry in Indiana7
❑ Yes
appmved in tAe amount of:
20 _ � 20
CounryAu�itor
stafe, afitl ZIP code)
What Taxing DisUiC?
RIUIYiiI:]
Is Ne property in Question: MnuallyASSessed
� Reat Properry ❑ Mnualy Assessed
Moale Home (IC E7.7
Ha5 this Ei
for wnem
20 ��!/ n '�
lC rr �`i /�—� � -
D(,�I,N j� JA�� P
Ya N M
I I We certify under the penalty of perjury that the above r
ownef I COnVaGt buVeGOf lhe aforemen6oned proPerty or
Fu0 resitlent adCress ot aDPti�6nt (numDer aM streel, crty
406 W Spruce St Princeton, IN 47670
Person auNOnzeO Dy tluy ezewted Power ol Attomey or
Address oi authoraetl person
do�o-��a�
20
�a:e
�ted on property
Yes ❑ No
20
�plicant is a resident of Indiana and
0