HomeMy WebLinkAboutMortgage_Caniff"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION $
State Fortn 43709 (R8/ 2117) � �� �
�9 J Presmbed by DepaNnrnt of Local Go�emmenl Firence �
File Mark
wsrnucnorvs: OCT 3 0 2008
To be filed in person or by mad wdh the County Auditor of lhe county whera the propeAy is located.
Fding Dates: 1J Real Property: During the 72 rrwntlrs before June 17 0/ the year the deduction is to be e//ective.
2) Mo6ile Homes assessed under IC 61.1-7: Behveen January 15 and Malch 2 0/ the year the deduction is to be eflecfive
See reverse sidelor eddiGonal insWctions and quali(ICafions. 4��}j ��
see
Ta�d ''cF Key numDar / iegal desaiption V V Recmtl rnanber Page rwmber
� aZ-D - U -000.l��v$-Da-B
wsscsseC value or m-a popaty as d Malai ,. a.re�� r�� M«�gaye i comrae u�am�edness unvab as or Marcn ,. �s u,e appkont u,e sae �eya� u. eq�ritaae wvnen
airtentyear / .
3v ��Q ❑Yes ❑No
If ro. Wat is his / her exad share of irrierest? I( owned wiih someona W�er than spouse, i�wte with whom.
If r��c:n�recard is diftererq Uian lhal oi
.nraa sarer� / � � � � /
iT l�/ �
oonVad seller (n bei arM sheeC dty, stata, end LP crode)
a Nher owner or hdder of marigaga
AdNess M assignee (inimbe/ aM sFreet, tity, sfafe, and ZIP mtle)
Does ePplicaM axn property in e . .
`°"""."�°°°�' Dra���er \'O.�i�Q —
❑Yes �������
s�i9�
CardNO . .....................
Or�uction aoomved in Ihe amw
,�i�a�
Counry Auduor
Te�dng DisUic
fOR
I 20
cour�ty
is Ihe property in qurstion:
❑ Real Pmcertv ❑ Mobile Harie QC 61.1
dudion been requesled on pmperty
r��+
❑ Yes ❑ No
i
zo
I/ We certify under the penalry of perjury that ihe above and fwegoing in(ormaUOn is true and mrred and fhat ihe appiipnts was / were a residenl of
Indiana and owner of Me atwementimed property on March 1, 2b _
Y� � ���I�
.1
Persan autlpr¢ed by duty
sUeet
w by IC &7.1-12-.07
persm (num6er aiM street. rAy. state, aM ZIP mde)
Date ( th. da . Yea�
1D��rno
(month. daY.Y��