HomeMy WebLinkAboutMortgage_Borders""� STATEMENT OF MORTGAGE �R CONTRACT INDEBTEDNESS Coun Township vear
�_ FOR DEDUCTION FROM ASSESSED VALUATION
Stafe Form 43709 (R10111-08)
� � PrascriDed N' DeVaNrien� d Laral GwemmeM Fiiu�e
INSTRUCiIONS: File Mark
ro ee erae �� �.� o. nY �a »;m rna co�,�ryaw�eo. a u�a ��ry wne.a ma anuanr rs ro��aa. J U N 1 5 2009
F7"mg Dates: 1J Real Property: Must file dwing Ne yee� /oi which the deduction is sought
2) Mo6�7e / MarnAectured Homes nof assasse0 as Real Property: Must fde dunrg tlre hveNe (12) mmths before Maich 3 f of each year
fhe tletlutlron is sdght. `-'�-n -� � �
�..
See ieverse sde lar adddio�dion�s.�r� lifications . _ ��
il^Mrw���,��� 1�w /�ry� 7� BIuJJ�� VJJIYII /-1U�J�
V `^'1`� /1 • � � . 11/j /� i—/ /f A A
-0 P-ao`�- C�/. /�P-Da�
inOebleOnasswpaidasd MortgagalConUxlindabte
Mart�h i. eme`rtyea
H ro, what is his I her asatl shara cf i`rteresll
IF 141118 Ofl fBIXYd 6 �IRBIBiII l�fl
�':d111B Oi IIOfI 'f�88 IX N�f3L{ 31
/VbRSS d rt10fi�d�BB Of ILYI�Rd
�� O� 2��fH(1�. IIdICd� bB�PY.
Name d assigrree or oMer wmer ar Inldm d moApape
b asiBnee (.wrMei aM sheat �: stab. ar# LP oode)
{vnt am pfopeAy in ary aU�er tl yes, what oouMy7
IMam?_ _r-. " ..r�-_ —
unpaiE az
legal or aquQabla ownafl
❑ Yes ❑ No
SOTBOfIB WIBf IM12II SOW�. YMIfdIB WIUI N'M10111
Ls me property in aue9ion: nmuaYY Assassed
� Real P�operty Q Mnuatly Assessed
_ I NTat Taz"ug D'afid7 I Has Ih"a dedudion been raquasted on pmpefty
brcurreinYeaR ❑ Yes n
wudion apc �}�'�9
DI":111'CI' �'�. c.?�! 1..........
p e a93q — �_ Zo zo _
�"�� �. ��,
��� �� 'e`�, �: � �hl;'7�'S.�° .... �� Oate . �y�� 0
1 I We cerlity untler ihe pe ty ot perjury e above antl foregoing mformatian is We an0 cwreG and that Ihe applicant is a resitlent af Intliana and
wmer I cp,ntract buyer of Ihe aforertlen property on date applinfion is fileC.
Date (mm�N. daY Y��)
M sbeN. s6�, aM Z �
a� � e. t nce-� , _� �j � �
d Atlomay ar by IC 6-7.7-12-0.7 Oale (rtunfA, day,
AdEress d author¢ed Parson