HomeMy WebLinkAboutMortgage_Bradfield.� °•r STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
State Fartn 43709 (RB / 2-07)
S.�M 1 PresmbeE by Oepartmenl of Local Go�emment Fi�nce
iNSrnucnoNS:
To be filed in person or by mad with fhe CountyAuditor ol fhe county where the propeAy is located.
Fd'aig Dates: 7) Real Properfy Dunng the 12 rrwnths before June 11 of the year the deduction is to be eRecGve.
2) Mobile Homes assessed under IC frf.l -7: BeAreen January 15 end March 2 0/ the year fhe deductio��; (o ��/eEf�si�
See reverse side lor /ad�ditional insbuctions aiM qualifications.
/ 1 / / � ":����
And' n er mn bWer s e re " onleverse side) , n
�,p ' / Keymim�BT/Iegal� �p�b�
/I i n� .�\.. fl1A a G-
W /�S.X.7 cv (_
rdue of real praputy as d March 1. ament ycar Mwigage /(
curtent year
his I her exact
rame on
Name of rrroN�agee or cantfact seller
Adtlress of mortgagee or cmVad seller
Name of assignea or aU�er owner or hd
AdOress of asvgnee (rwmbu arid sLeef. tity, stafe, and Z!P wde)
licant own qoperty in any dher If yes, wh:
Indiana?
❑Yes ❑ No
applicant, indipte below:
dty, state,
Deduction
p
i:�7
oC
I I We ceiGfy under �alty of p
Indiana a owner o e afwem i
�nauuri ' ers rre)
�
sid tadEressofa t num �
� a( , oo �
rson author¢ed by duy erzecvted Power
-GbO. 7 a.8-va� R��'� P/d/ v
:btedness unpaid as of March 1, Is Ihe applipnt Ue sda legal or equitable orrt�e(.�
3Q Q ❑ Yes ❑ No
If oaned with someone dher ihan spouu, ��'ate vrith whom.
Is Ihe property in question:
❑ Real Pioperty ❑ Mobile Home (IC 61.
ca0e)
What Texing D'aUic11 Has
forc
;OUNTYAUDROR
�
2(
_ �(Z.A D�� �
m�� �
x
�, � � -1 �.IO
N Att«rrey or by IC 61.1-12-.07
sVeeG �y, sfate, a� ZIP wde)
�f
20
ues�ed on pmperry
❑Yes ❑No
20
I ua�e yrmnrg, aay,y O^��
lJ S j
ial the applicants was / were a resident of
Date (mmih day, yea�
D �- 30 -Z��
le (monfh. daY. Y�A
� S -3 0 ��