HomeMy WebLinkAboutMortgage_McGraw^'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
r__ = FOR DEDUCTION FROM ASSESSED VALUATION
Sfate Form 43709 (R11 / 6-09)
♦ f Presaibed by Departme�rt of Lo�l Govemment Finance
�� File a
�NSrRUCnoNS:
Form Ned with:
To 6e lled in person w by mail with [he CountyAuditor or Counry RecoNer of the counry wf�ere the property is located. �E p� ry Z(�, �
Filirg Dates: 7) Real Property: Mus! file dufiig the year for �wliich the deduction is soughL �o n Aud{m
2) Mobde / Manufactured Homes rrot assessed as Real PropeRy Musf file dunng Me rirelve (12) montAs I'7,
be(ora March 37 of each year the deducfion is soughG L�1.;GO�cder
(\
See reverse side lor additional instruclions and qual�cafions.
App6ranl( rorcontract buye ' see m 2 rse side ,^ ,� � �
r v�
T �istria � Kgy 'O �- I drsrnGton 0 O Q• �. ' Reto�d � P e n
Ol
Pssessed vahie �i real poperty as d Mortgage / Contract'uWe6letlness unpaid as of Mwtgage / Con�aU'vWebtedriess unpaid az d is Ne eppl'rant Ne sde
Mazrh 1. qrrmt ym MarGi 1, w n'� yIear ,t Cate of aPW�� legal w eQuita6le amel7
� 11 � . / 1 %�i/i ❑ ves ❑ No
Ii no. what a his / her e�rt
It name m �emd is CiRerent Nan Nat of aPP��t. iMirate belmr.
Name of mortgagee or mntrarl seAer
Mdress of mortgagec or mntraa seller (nwriEe� and sveeL crty, sfate.
AGdress of assgnce (numDer arN.u+ce4 c% sbte. ard LP cade)
Does appliont own propeM in any oNer If yes, what wunt�/.�
counryinlnd'ena? ❑ Yes
❑ No
DetluUion approve0 � Ne amoun
20 20
Sigrenne d Counry P�uEitor ,
20 I 20
U
Whai Taneg DisUiIX?
20
sPOUSe.
Is ihe property in QuesUm: Mnua�y Psses•,e�
❑ R�i �aenr O nm,�iy a�a
Mobile Hane (IC G7.
Has N's detlutlbn Oeen requesteE an proprny
for arrent yeal.+ �._ �.
20 � 20
I/ We certify urWer the penalty of perjury Mat the above and toregoing information is true and cortec! and that Ne applipnt is a resident o( Indiana aM
wTfCF7�Trt�ct buygr of the aforementioned�'operty on date application is filed.
�re re(ovmeh )� \ � Date�(moNh. day, yea�
w by IC G7.142-0]
Mdress of aulhor¢cd person (number antl sbee4 �Y. sbte, and LP co0e)
Oatc (rtronN. daY Y��)