HomeMy WebLinkAboutMortgage_Bradley"'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS C Township Year
:__ : FOR DEDUCTION FROM ASSESSED VALUATION
� State Fortn 43709 (R71/609)
�' � PresoiDetl by Oepanmenl of Local Govemment Fnance
File a
uvsrRUCnoNS: ,
To be filed in person w by mail wifh the CountyAuditor or Counry Recorder of the county where the pmperty is located.
Pdirg Dates: 7) Real Pmperty: Mus7 file dumg the yaar for which [he deduc6on is soughG `
2J Mobde / Manufadured Homes rmt assessed as Real Property Must fiie d�nng the fweNe (72) months G
before March 37 of each year the deduction is wught.
See reverse side lnr additional instnictions arM quali�cations. O'BS�N
Counry Auditor
GaunN Recorder
Ia iStrvY KCynumDerll¢gal�esrnp Reco�tlnum0¢r P e mbPf
-�� �- a- - /o3-vo3. 1��-0�2g O
Ass�sed rahie d real praperty az ot Mortgage / Contract irWe6tedn�s unpaid as of Morigage I Conbact i�Webtedness unpaid as of Is �he appArant the sole
MarU i, aarent year March 1, current year Eate of application legal w epuitade oxme(1
❑ Yes ❑ No
If ro, what a his I her e�] shara ot inteJrsi? If mmed wiM someo�re other Man spouse. ifdimte with hMm
It nartie m iemd "n Nrterent Nan Nat oi aDP��• ��te below Is property in puestion: MnuaOy A�sed
� �� Real RopeAy Q Mnually Assessed .._
I�t.J4.'.�.�i�'i:3
aM sbee4 �N. sfam.
Name � acsionee or.othg.owner.or hdder of rtartoaae
� � (�`�
� ���o-vo a
�A
� ��
�w eP X , `�v�i. an
autho�aed Cy duty �ewted Power of Attorney or by IC G7.1-12-0.7
Pddress of aWwrtred person (num0er arM sbee; ciry, state,
II fm
COUNN AUDROR
20 20
Caunry
20
Dale (monfh. daY Y��
20
v�vPm
❑ No
going infortnatlon is We and wrtect arW that the appiicant is a resident of IrWiana arM
�pliption is filed.
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