HomeMy WebLinkAboutMortgage_McCoy°"� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
SWe Farm 43709 (RB / 2�07) ' - -
�' � Presrnbed by Depariment of Loral GrnemmeN Fi�ance
File Mark
(NSTRUCTIONS:
roeBeiaa���,��any�aWxnmacou�rya„arro.wrna���ryWna,�maPro�,ry;sio�r�a. APR ] 4 2009
Fd'mg Dates: 1) Real RopeRy: During the 12 monfhs be/we June 17 d tlre year the deduction is to be a/lecSve.
2) Mobile Homes assessed /mder IC 61.1-7: Behveen January 15 and March 2 07 the yea� tlie deductim is to be eAecffve.
See reverse side fa addrfional insWCb'ons and q�Gfiwtions. �`/( �;(S �
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Tatirg DisUid . Key rwm / legal stoiption RemN number Page mimber �
-o _ a-cn . �
a�d �n,e ur re� v�v�r as or n�a�n ,, ara�n r� e.+�n�aa, comrea indewed„ess u�,
wrtart rear !,-
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i�.Yr� � na i n�, ��e m��ia ir �
If reme m recatl is ditFerenl Uun thffi a4 appkanL in?cale belwr.
�� 0 s.�1-0 � �
Name of nwlgagea or conirxt seller
Addrass of mortgagee a mntrae seller (num6er and streeC oiy. sfafe. an0 LP code)
Name ot ass9nee or oU�x awner w holdt
Atldress of assigrree (ixm6er and sheeC �
Dces epplimM own property in any dher
counly in Indiana7
❑ Yes ❑ No
Dedud'mn apprwed in the amwN of:
20 �_ 20
sigrawre ot Caunry twd"eor
i.
i�i «��aa o.,�n
y�.res ❑ No
with someone olher Uun spouse. �fale with whom.
u,e propeny in m,�u«i:
'r�l PropeAy ❑ Moble Home OC 6�1.
LPmde) `I!T/�v�J� " � "G('V�
���s,�,��,� C��✓o� J
�o��
20 _ 20 _
C�+�N
D�-%�38
20
20
� reaues�ea o� a�r
❑ Yes ❑ No
20 _
I I
I/ We certify un er the penal ly of perjury that the above and foregoing infortna6wi is W e and mrtect and that Me appGnnis �ras / we2 a resident o(
Indiana ar� a�er oi the afore�wEflV�ed {roperty on March 1, 20
irewre f inel i1 . Data (manth, daY• Y��)
w Dy
persm (num6erand s6eet cdy. sfafe, antl
(monfh. daY. Yea�