HomeMy WebLinkAboutMortgage_Carpenter (3).a "^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION n/
, _ _ --1 (.
� Slate Form 43709 (R8 I 2O7) � �/f�
�° � R�ai6ed by Departmenl of local Govemmenl Finance � ') v
NM y
File Mark
wsrnucnoNS: NOV 2 1 2008
To be filed in person or by ma� with the CouNyAuditor o/ fhe courrty where the p`opeAy ia located.
Fd'o'g Dates: 1) Real Property: During the 72 monMs be/are June 77 0/ fhe year the deduction is to be e/%c6ve.
2J Mobiie Homes assessed under IC 6-7.1-7: Between January 15 and March 2 0( fhe year the deduction istoj� effec6ve. �
See reverse side /a additional insWc6ons and qualificatrons. Q�l6� ��� �
MW� ( n' Dy'er-sae
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Tad A � K
Assessed rdue ot ieal poperty as d Man
��• whal is his / har exad share af irM
me on remrd is EiHeren� Ihan that o
Name of mortgagee or oonUact seller
Address of mortgagee a cmtraa seller
���'/�� I �Ba9e / ConVact
aIRBNYear /
applican4 ��icate below:
an0 sfreef. dty. siate, ard ZIP cade)
Nartre of assgnee d dher owner u holtler ot morigage
�saf. ^' i..._.__' _ . ' _.—'_'—____'�)
Di�a���er NO..�QOB........ ,�,f
� �
Card i�'O. .....r'�. ry 5-3........
-�9ip, Qoo • �
p � 20 20
unpaid as ot March 1
If owned wilh someane
NR�at Tadnq Districl?
wNTVauoROR
20 20
Page rwmber
Is Ihe appfipnt Ihe sda legal or equiUde v.me�
❑ Yes � Na
Is Ihe property in question:
❑ Real Pmperty ❑ Mobile Home QC 61.
Has this d�
fw arrent
20
�,res�ed o� p�operty
❑ Yes ❑ No
Dale (manth, day, yea�
20
I/ We certify under the penalty of perjury ihat ihe above and foregoing infomiation is true and correU and tliat ihe appficanLS was! were a resident of
Indiana and owner oi tlie aforementioned propeAy on March i, 20
,���a �nWn.✓c ne�na�nP� oata (monlh. daY. Y��)
tlenl address of irant (nwn6er and s4eeL dty. stafe. aM LP cotle)
Z 1 L B, �k S-r 1�12i�ce�, 2w `�� e
autliwaetl by duly executed Power oi Ntomey or hy I G7.1-12-.07
aulhoraed person (num6er and street, aty, stafe. antl LP code)