HomeMy WebLinkAboutMortgage_Cutsinger^�� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
__ s FOR DEDUCTION FROM ASSESSED VALUATION
. . • Slale Fortn 43709 (R11 / 6-09)
�' � f PresaibeE by Deparimenl of Laml Garemrtrerd Fnarce
Coun Township Year
F'I M rk
ie a
�vsrRUCnoNS:
To be filed in person w by mail with the CountyAuditor or County Recorder ol the county wheie Ihe property is located. �e ���
Filirg Dates: 7) Real PmpeAy: Must !le dunng Ne year for which the deduction is sought. un u i or
2) Mo6Ae / Manufactured Horrms raf assessed as Real Property: Must file during Ne twelve (12J months
6etoie Maich 31 of each year the deduction is sought. � T tviiemrder
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See reverse side tor adUitional instruct6ons aiM qualifications.
AppGCant (on roontracf 6vyer- 5� 1mSNCnonS
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Ta ' �istr¢t Key n r
(o ' -
A�sesseAraluecQrealP�Y�� �
IMarch 1, aareN Ymr �
tt ro. what [s his / her euG share N inte2st?
If name m 2mtl is 6ftrlent Ihan that of appGCam.
Name of moriga9ee or mnVact seller
BvMu
legal
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iMebtedness unpai0 as d Mort9a9e I ConVa�Y uMehtNness unpaid as of Is Me a
r date ot appGwtion legal w
mntract se9er (number and straef, crty, sta.e, aM ZIP code)
Nher owner or hddw of mortga9e
Adaress ot a5sgnm (nurMer aM slree4 �: slate. an0 ZIP Catle)
Y� u No
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p property in puestion: Mnually Assessed
Real Roperty ❑ ArmuallyPSSessed
+ Does epplitaM rnm property in any oNer I If yes. what munry? I What Tavrg D¢iriU? I Has �his OeCUUion Eeen requested m property I
� munry in Indiana? n, n, m� a,�.em r�� n..e� n N„