HomeMy WebLinkAboutMortgage_Brown (8).r °^� STATEMENT OF MORTGAGE OR CONTRACT INDI
FOR DEDUCTION FROM ASSESSED VALUATION
: � s�e F� aa�os �r�a i z-0»
�O w„ f Presmbed bY DaPar�ment of Local GovemmeM Finance
Coun Township Year
�
File Mark
�NSrRUCnoNS: FEB 1 2 2009
To be filed in person or by mad wdh tlte CounfyAuditor o( the couMy where the properly is located.
Fd'oig Dates: 1 J Real Property: Dunng the i 2 months belore June if of the year the deduction is fo 6e eNactive.
2) Mobiie Homes assessed under fC 61.1-7: Behveen January 15 end March 2 0/ tfie year the deducfion is tobry,g/fective�
See reverse side fw additional insWttions a� quali(cafions. 0��� N�
- see resfrirbms
Key number /
Zb- -B-C
rty as of MarCh 1, anenl year
share of itMrest?
If rome on
mongagee or cmtract seller
w.w.,.. ---- - � -
00 -Da 79�
Mortgage / ConiraG indeWedness unpaid as of March 1, Is �he app6pnt Ihe sde legal d equitade ownell
aR�� �
❑ Yes ❑ No
Ii ow+red wilh someme alher ihan sP�se, c�dKate with whom.
ndd.ess ot monqayee w m,uaa seller (numau and streec dry. srate. aw
Nartre af assignee w olher oaner w hdtler
Address of assi9�e (nwr6ei aiW sLee1. dty. state. aM ZIP cotle)
�s the popeAy in ques6on:
._ ❑ Real Property ❑ Mobile Home (IC 61.1
Dra�vec• No..9.�.�79.fi.
\ . '
Card i\'O. ........��j�pC20��
Dces applicaN wm property in arry dher If yes. what caunt�? What Ta�dng DisUicl? Has Uis oauu...� ......... _�_ _. .1y
caurrty m Indaro? fd �� Y�n
❑ Yes ❑ No ❑ Yes ❑ No