HomeMy WebLinkAboutMortgage_McFetridge•� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
_. FOR DEDUCTION FROM ASSESSED VALUATION
�• SAta Fwm 63�09 �R„ , 6-09) ^ .
� w. PrewiDetl M DeparbneM of Lorai Govemment Firence �`! i� '
V Fe a
wsrRUCnoNS:
b 6e filed in person a by mail with the CountyAUditw or Counry Remrde� of fhe wunty whe2 e��n,. rs ro��ed.�AAR
F7ing Dates: 1) Real Prope/ly: Must ke during the year for which the deduction is sought.
2) Mo6de / Manu/actuied Homes not assessed as Real Property Must h7e during the fweNe (72J maiMs
before March 37 of each yrar Ne Aeduction is sought. ��JJ,
See reverse "Ce fnr add'Rional insWCUa
( mntraC b
i
Ta D�stri � Key
i�
A.sesseC rdhie d real aopatY as af
Meidi t. anent yrar
n iw. what is his 1 hu oma shara ot infeJest7
Y �wrre m�d is 6fterent Utan Nal a/ app�
Name of rtiortgagee or mnbact seUer
and qualificatiorts.
Counry Auditor
�ounty Recorder
r I leg esaiption Rxad Page n
�b-�a- 3o�-Uco.�88 -0�3 o q
M��yg e/ Contraa Inde6teEness unpaid as of Mortgage / Cantrar3 uWebtcEness unpaid as d U Ne appOrani Me sde
Memh 1. arten� date o( appliolion legal a epuibde amM
��0�� ❑ Yes ❑ No
M vMned wiN samew�e otheJ fhan spouse, h�d�cate with whan
cantraa seCtt (mmbe� aid snee4 �Y• smte. anE LP�
r owner rn hdEa W rtartpaBa
.'_" ' ' _. ..,
.�.� _. �
, ap �..........
�,a��, Di�a�vcr \0.....
murity in Uid�an
C:�i•�] \O
��
20 _ � _
.... �di 1..........
�
.�" 93,�5a. �
certfy undu e penalry of
I mntract bu r of the afon
2(1
IS MC PfOpClCJ N QUESLJII: MIIY3M PSSP5521i
❑ Real aroa�v ❑ ��M �
bbdle Hart�e (IC 6
Has Nis EeCUftim Eeen re9uested m property
far artmt Y��? ❑ Yes ❑ No
uNrr nuorrort
20 20 20
��
�'.��
that the above and foregoing information C5 W e and cortecl and that the applirant is a resident of Indiara arW
ned property on data applintion is filed.
Date (nurWi. deY. Y��)
3-30 - zoiv
ezewted Pov�er af ACameY a M IC 67.142-0]
MEress of autha'veO person (numberaM sbeet �+ry. sbta.