HomeMy WebLinkAboutMortgage_Munro"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun T hip a
,_ = FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn 43709 (R11 / 6-09)
, � P2saibetl M �ePartmeM af Laml GovemmeM Fvunce
F� 011
wsrRUCnoNS:
To 6e lled in person or by mail witA the Co�nry AuUitor or Counry Remrder o/ the county where the pmperty is located. FO��w��
Filiig Dates: 1) Real Property: Must file durirg the year for which !he deduc[ion is sought. � Coun�y�u
2) Mobi/e / Manufactured Homes rwt asseued as Real Property: Must file dunng the twelve (12J months
be(o2 March 37 ofeach year the deduction is soughG G S�CO�p'�?$7pR
See reverse side for additional instructions arM qualificafions.
Ap (o rorconva(Ybuyer-see mre�srsesiie)
7 v istrin / I num0er I k9al desaiption � �o � �^ R�mber Page numbtt�
/1 ..,. n. 1aY 1 J'/ 0 d
As��Sed �ra6ie dreal PoP�Y az �
Mach 7. acrent yrar
M. W�Idl �5 �RS / hE! BYdf15�13fB Oi YI}PlPSl7
If nartia m 1ecad is di`e2nt Nan
Name of rtnrtga9re or mntrxt
nqrtgagrP or mntraa se0er
O - . � -O / /G
M�p�g e/ Contrea 4We�tedrress unpaid as af Mongaga / Conraa ud �mpaia as d Is Na eppfaant Me sde
March 1. wrrent Y� date of aPP�� legal or eWrtade owneR
��� ❑ Yes ❑ No
w oNer owner rn hdder of morigage
crty, s�le, eM LP code)
ot assignee (num6eraM abeeL my. slate. and Z/P cotle)
tt owned wiih sameo� dher �han spouse. md�te wRh Mwrn
p prop�ty in Vuestion: AnnuaAy Assesud
Real Properry ❑ Mnually Assessed
Does ePWipnt own propMy in airy dhn I If yes. what muntyt .. j Whal Tadrg DCstnc[? I Has Nis dedwiian been requeste0 m Praprity
munry in Indiana? ❑ No I for curtent yea!? � Yes
- .❑.Yes ❑ No
____ ._
Dra�ver NO...21�1.4......... COUNTYAUDROR
D
Card NO. ....1p5.1.......... Zo zo zo_ zo_
»��; � 1 �\ . rt�� Caunry Date (rmRh, daY. Y�0
'� lJ L��
,,.. �,�,,,,� ,,, �u ,..,, �-..-.., -- �-.,--. --- . d toregoing information is we and cortea arM that ihe applirant is a resident of I�iana antl
owner I mntraa buyer of Ne af«ementioned property on date appiication is filed.
,�1 fuLUe (awners h�name) Date (rtmL6 daY•Yee�
(1 n � �n f1��� � � . ,.n �/�1 _ �
Mtl`ess ot aulha'vetl person (numbera� street aN, sbfe, antl