HomeMy WebLinkAboutMortgage_McGraw (3).r�—•^ STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS n To hip Year
r,, .,, FOR DEDUCTION FROM ASSESSED VALUATION
State Form 43709 (R8/ 2-07) e
�O ; •� Prescnbed by Department of Local Govemment Fi�nce DE C o 2oO�
INSTRUCTIONS: ��.l1 *
To be l/ed in person or by mail with the CountyAudifor o( the county where the property is locafed. � �G�(/ (/
Fding Dates: 7J Real Property: Dunng the 12 months before June 77 0( fhe yaa� the deduc6on is to be e/fecGve sn N (�U�!TY AUDITOR
2) Mobile Homes assessed under IC 6-1.7-7: Behveen January 75 and March 2 oJthe year the d�di�tuon is�o3e eRecGve.
See reverse side !w additional instructions arM quali�cations.
Appicam (owner or Lad buyer_- /see iesln au on reverse 'sieen) `'—�'-(� �
T� �l l - � V
Ta ' Distnd Key number / legal desrnption
. � -/ �-�0,.'I.'-�30.,j :-,DO'%.l 7.7-0 �b'
hssessed ralue of real popaty as af Mardi 1, aarent yrar Marigage I Contrad intlebtedness unpaid as of March 1, Is ihe
arten� year .
! a-8.o0C7
�a
name m
Name of nartgagee or contract seller
indi�le
ACdress of mortgagee a conVad seller (num6er and streef, tity, sfate, arW
Name of assignee a other avrrer w
own property in eny dher
a?
❑Yes ❑ No
Deduction apprwed in the
20
SyruWre
0
mwlgage
sfale, aiM ZIP ootle)
Ii yes, what counry7
-t � u
� �
someone aner than spouse,
R�� �m �+ I Pa� 7 � �
O
i5nnt ihe ade legal a eQUitable owne(1
❑ Yes ❑ No
Is the propeM1y in Ques6on:
❑ Real Roperty ❑ Mobile Home (IC 61.1-7)
DraweriYO..a - -
•�.........
Card Np, ,,, ys�
Texing Dis ��JC�1/y� /1/1 _ `` Ol ��,/i./ � ....
orxy �QQ_` __
� ' _~�'� `L�'<cQ. i'. U �
COUNTYAUDROR
20 2(1 20
Couny
20
o�+e ��,w�N, day, yea�
20
I I We certify under lhe penalry of perjury that the above and foregoing infortnation is trve and mrrect and Uiat fhe appli�anfs was I were a resident o(
Irtdianaand owner of fhe aforemen0oned property on March 1, 2b __
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�5 0� CJ. /i�clza� S�- ( z�� i o� s..! �{ Z�r
Person aulhorized by duly ezewled Power of Attomey or Oy IC Gi.1-12-.07
Address of aulhwrzed person (num6er aM sfreet, aty. stefe. errd ZIP code)
�ate (manN. GaY Y��)
oa�e c„anm, dar. ,resn