HomeMy WebLinkAboutMortgage_Craney"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun ip ea
__, FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn 43709 (R71 / 6-09) S EP 7
� w�. f Presmbed by Depanment ol Laal Govemrtrent Fnance 1 � 0
File Mark
INSTRUCTIONS:
To be fiied in person w by maii wiN the CouniyAud'ROr o� Counry Recorde� ot the county where the properfy is located. F ����,�
F76g Dates: 1 J Real Property: Musf file dunng fhe year fir which the deduclion is soughL G IBS N J n� 7Qr
2) Mo6de / Manuladured Homes rrot assessed as Real Property Mus1 file during the 1weNe (12J rtanths
before March 31 of each year the deduction is sought. ❑ County R�er
See reverse side (or adtlitional instructans and qualfications.
Appfrcanf ( ar d buyzr - see m reverse sid �
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Tapng Key numbu l legal deSaiDin^ Remrt1 num Page numbu
a - - a3�GO � - � Fs
Atise�ed vehre d real p'openy as d M1bngage / Cantr�ayapa irntlebtednass unpaid as W Mortgage I Can ' debtedness unpaid as of Is Ihe app�cani the sde
1AAazU1 7. MMf Y� Mart'h 7' �`7. / ` tla[e o( aPP�a� k9� ❑ Y�e mme(?
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li ro. WhBf 6 h6 / hPl 0i2C2 Sh310 011111CIESt?
I1 name m remfd is d'AFerent Nan that of aPP��l �dipte Eelow
or mntrad s�er (nwMer and stree; rdy.
w other ovmer or
Adtlrass at assignee (numGer end sheef, cGy, sfefe, arM ZIP ooda)
Dces epptkaM wn property in any aNer I If yrs,
munty in IrMi2na? r-� _. r-� _.
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uaWre W CamtyAUtlimr
I/ We certify urWu the penalty of
awner! ntra uyer of the a
�nawre reme)
II 'tlent aCdress o p�rant (numbe
�ai s. ��-��
rson auUmr'¢ed W dNv exewted Pow
SORIEMf
Is the property in puesUm: Mnualy Assesse0
� Real Property ❑ Armually Assessed
btobile Harie (IC 61.
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Counry
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W�P�Y
iry that the above a� (oregoing infortnalion is true and corteU afW Nat the applinnt is a resident of Indiana arW
' ed property on date appiicabon is filed.
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o(AttomeY a M IC G7.1-12-0.7
Mtlress of auUwr'¢ed person (number arM Sbeet �; sb:e.
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