HomeMy WebLinkAboutMortgage_Pegasus Properties LLCrySTATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township � Year
FOR DEDUCTION FROM ASSESSED VALUATION �
Stata Fortn 03709 (R71 / 6W )
�' Presaibad by DepartrtieM of Lxal Govemmartl Firwice
"" File Mark
INSTRUCTIONS: ��T 2 �
To 6e filed in person w by mail with the County Auditor or Counry Recader o/ Ne carnry wfiere the property is 1 '''
FrBig Dates: 1) Real Pmperty: Must fde durirg the year for which Ne deduclion is wught Counry Auditor
2) Mob�le / Manulactu/ed Homes rrof assessed as Real Rnperty: Must file during Me hveNe (72J moa�s ��ry R��
before March 31 01 each year the Aedud'nn is soughG Q// �
Sea reverse side foradditionel instructbns and qualifications. N OUNTY AUDITOR
�(oxrre.armnaartnuyer- o^m�s�°1 _ // � n . / nn � -
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rtnrtgagee «mntract se8er
Address af morcgagee or
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saneone
2p�W111� �N2I8 �QK.
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AdGress of assignce (numbei and stree; rdy, sfete,
fimnt ovm yoperty in any oNu
InE'ena? ❑ Yes
Deduction aPWo`ied'm Cre amount
rdy, �le. eM LP code)
acx�8
Dra���er NO ...................
a �3�'
C�l'C1 \� . .....................
� a5, ��
20— I 20= I 29— I 2U— I N7
unpaie as d
4dkate with wMm
ritahle ow'mll
Yes ❑ No
IS IhE W�GeKY YI Q�16SIOIL iNfLL18M h4PS5l�
❑ Real PmPenY ❑ A^^�a�YA�sed
Moble Fiatie OC b1.
:����������,�
wrtent Y�r' � Yes ❑
�_ � �-
SigreMe of Cpmb Aud'¢or Counry Date (rtmN. OaY. Y�/)
� I I We cerlify u�er Ne penatty ot perjury that the abova antl foregoing infortnalion is we and cortect and Uiat Ne applirant is a residerrt of Irdiana aM
ovmer I mntraa buyer of the atorementioned property on date application is filed.
�.e r n�n,�,ro� . �. Date (rtmCi. daY. Y��
M
or q IC 61.
Gerson (number ard sbeeG �: sfafe. an0 LP wde)
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