HomeMy WebLinkAboutMortgage_Kennard"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
_ + FOR DEDUCTION FROM ASSESSED VALUATION
• Sfafe Fartn 43709 (R71 / 609)
��u. Presvibetl Cy DePa�M of Loral Govemment Fu�ente
wsrRUCnoNS:
To be filed in person w by mail wNh the CountyAuditw or Counry Recader o/ the counry where the pmperty is located.
AYfl��2010
Fi1'mg Da[es: i) Real PropeAy: Must file durirg the }rear Iw whirh the deduction is soughL Counry Auditor
2) Mobde / ManNactured Homes nof assessed as Real Properly Must h7e dunng Ihe tweNe (72) months ❑
6efae Ma�ch 37 0! each year the deduction is sought. Recorder
See reversa side /or additional inshucGOns and oualifratiqns.
�i��-�i�u �� �� ���'����aa. �a�d� �`�°�io
eC rahre d rnal qoperty az ot Abnpag e/ Contraa intlebtednass unPaid as W Mortgage / CanbaG'uMebteEr�¢ss un7� az d 1
1. amn[ ym Mart�h 1, wrtent year aar� m�prrc�� n/j ��� I
ro. what is h'a I trel emU shafa or interest?
name m remN is CAfemnf t�an that o( aPP�
ame at rtiortgagea w mntrarl seAer
or contraa se0er (number and sveef, rdy, smte, aM LP mda)
Name of assignee w other owner w haldar of mortga9e
Pde�ass ot assignee (numbar aM strae4 �l: stete.
u,�. �� �,�m
No
coi
a��a m u,a a�,m oe
zo � zo � zo � zo
Ndiwr
If ovmeO wiN
numDc
Yes LI No
� ProO�Y in Ouestion: Mnua%ASessed
Real RoPeMY ❑ ��Y �
Dra���cr NO..
�-^�' I � • . • • • • •• sted m ptopeity
Yes ❑ M1
.
Card �O. ...�� �'17�5�09 `°~—
��� I - �— �—
Date (rtpnth. tlaY. Y��)
I/ We certify ufWer the penatty M perjury that the above arW foregaing infortnalion is We and mrtect and Mat the applinnt is a resident oF Indiana antl
owner I mntraU buyer of ihe aforemeirtioned property on date application is filed.
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�D 5� C
�a���
person (numbe� and sbeeL ary. sbte. and LP code)
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