HomeMy WebLinkAboutMortgage_MaglisN� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
,-_ _; FOR DEDUCTION FROM ASSESSED VALUATION
Stdte Fortn 43709 (R11 / 609)
� w. � Preunbetl by DePa�kM of Lotal GovemrtmrLL Frence
Fi
�NSrRUCno,vs:
To 6e filed in person or by mail with the CountyAUditor or Counry Recorder o/ the oounty where the property is located. F��� Z � ��
Filirg Dates: 1i Real Property: Must file dunng the year for which the detlucfan is sought. County Auditnr
2) Mo6�7e /Manufactured Hwnes not assessed as Real Property Must file during the tweNe (72) months
6efore Maich 37 of each year the deduction is sovghG �� �l�9�(der
Sae 2verse side far addilional inshuctions arid qual�cafions.
ADP�Yi^t (owrieror contrarl buyer- see msbicnons m�eversa side)
Tarijg'Dis//� triq,.. I N� n�
ci
`� '�`C�-0�' o'•(i
a� vdwe m rr� �vopeny as a
Mart'h 1. a+�aM1 year
', no. wfut is Ns, he, ex� s�are of N�l?
It �wrie on �ecpd is QAferent than that ol app0
Nartie M mortgagee ar mntraCl Se4er
�/Jg.- � -�Oa.-dQO. 70B-Dol� aoll i.oqh
�a1, aartentra� 6teEnesS unOaN az of Mwtgag�e �� iMebiedne55 unPaiE as d legal �eqlt�aad� e ameR
X' D. O O D ❑ Y� ❑ No
Addres d mort�agce a cantrad seAer (mmbe� ard sbeeG �al% sbte. aM Z/P code)
w oNer owner w halder of mortgage
stree4
If awnad wiN somew�e
spouse.
�� 7�GertY in 0�: MnuaDyAs.cssed
-' ••_'_'�. 1-'I.e.wuWAsseSSed
D1'�\V�I' �i�..R, 0 I I �......
c�,-� �io. .. a ° 9 �.........
I �oes ePplimN own P�PenY in aery other I It yes. Miat munf/.� " I Wtat Tadrg Distrir3? I Has Nis detlWion EePn 2GU�teA m pm{wty I
munty m IMiana? ❑ Ye5 ❑ No tw curtent yeaR
❑ Yes ❑ No