HomeMy WebLinkAboutMortgage_Emerson" STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_ FOR DEDUCTION FROM ASSESSED VALUATION
Slate Fam 43709 (R70 H 1-08)
� y� � Ptastribed Ey Oepartrnenl d Lotal GwemmeM Finanm
INSTRUCTIONS:
To be filad in pelswi or by med wiN fhe CaunlyAuOitor o/ (he county where Ne poperty is bcateO.
Filing Dates: 1J Real Properfy: Musf file Curing the yeer /or which fhe dedudion is sought DUL ENT�E�R A�
2JMObde/Manu/eduretlHOmesndassessedesRealProperty:MUStf�edunm,Jtli9.fw�N�(�7�J��c�l$���t���.}ar�p�$� year
fhe deducfion is soughL . JU D
s�,���gaaro.ead���.�wa�eoeq��no�s _dayo( MA_Y .`�.,q 9nn9_
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d real papery as d
i n�r � sna�a m ��re�a
Name d mo�igagee a
- ia- O6-
�}s 8 5o I H°""e° "ith sa"'e°"e °°^er Iha^ sG°"se.
Addfass o( mor�agee u cmiratl se0er (lumhriand abmC ah: �e. �
Nanre d auigrree or a@iar awnar a holCer d morigape
assgnee
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n Y�
Deduclion approved in Ne amourit d:
�y, slab,
No
couNn auorroa
za � zo
I/ W c�tiry untl nalry of perp� t Mf
own I ontra y af the aforeme �on prt
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re:e aaa - � �� c�er,e�rar�e�. r�r.
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ison aulhorrzad'M u sacubE Pw�ar d AtbmeY ar I
drass d authaized person (numbc� andsLeet, rify, st
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e and fwegang mformation is We ana ca,
on date applinfion is filed.
LP code)
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v� u No
4s Ihe V�weM in GueSim: MnuaOy AasesseO
� Real Property Q Mnualy Assessea
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_�ne appliwnt is a resident of Indana and
Cay,
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