HomeMy WebLinkAboutMortgage_Miles (2).r �'^� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
FOR DEDUCTION FROM ASSESSED VALUATION
' ' SYale Farm 43709 (R8 / 2�n
�� , I'resrnbed bg Departme^t of Lod Go�emmerrt Firance
NM
iNSrnucnoNS:
To be filed in person oi by mad with the CourdyAud'rtw of the couMy whe�e fhe pmperty is bcated.
Fd'a'9 Dates: 1J Real Property: Dunng Ure 12 months be%re June 17 0/ the year the deducbon is to be eRective.
2) Mobile Homes assessed urWer IC 6-1.1-7: Beh+een January 15 end March 2 0/ the year tfie deduction is to p�efl�ctive2009
See reverse side for addifional ins6vcGOns aM qualifications. MH �
Applicam (owne�mnhad bu�'er'see
�r►.i3�1!9C'Q�l �1�J���
/ her exad share ot iNerest9
recwd is d'Aterenl than thffi d
rtprtgagee or cuqracf
mortgagee a ooniraa seller (number an0 stree4 dty, slate. arM LP oode)
atha owner or hdder of mortpage
Address of assi9rree (mm6er aM streeG �l:
unP� as of Alardi 1,
sortieme
> e�,aaa �n
❑Yes ❑No
uWicata with whom.
I61hB prnperty in Questim:
0 Real Prooerlv ❑ Modle Fbme OC 61.
Does applicarri own property in erry dher --- If yes. whal wunt�? What Taxing Disiricll Has ihis dedudion baen reQues�ed an praperty
counry in Ind�ana? � ta arteM yeaR
❑ Yes � No ❑ Yes � No