HomeMy WebLinkAboutMortgage_Richardson (6)°'n STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
FOR DEDUCTION FROM ASSESSED VALUATION
Slate Form 43709 (R8 / 2-07)
•° ur � Resmbed by Depertrtrenl of Lowl Go�emmeM Finarwe
INSTRUCTIONS: I
To 6e filed in person or 6y mad with Me CourrtyAuditor of the couMy where the pioperty is located.
Fd'a'g Datea: i) Real Property.� Dunng the 12 months before Jurre 11 d tlre year Ure dedudion is to be effective. MQY 1 2 Z�Q9
/ 2) Mobile Hames assessed �mdei IC 6-1.1-7: Behveen January 15 and March 2 0! the yea� the deducfim is fo be efleclive.
See ieverse side (a edditional insGut&orts end qualificaGorts.
�
�aw �� - l;, °"� ,^ c
l /Y�V) //� i" l� A �OZ1-G9UWiY AUDITOR
piopaly as of Marti� 1. airenl year
his / har exacf stwe af inteiesl�
=�� a-10� Ooa-(� o � -a a8 ...�..._._...� . �._��,
�ge / u�dededness unPad as of March 1. Is ihe ap�cant 1he sda legal n equitaae owricY7
'� 3or� c�
❑ Yes ❑ No
If owried wilh sort�mne dl�er Nan spouse, uiditate wiN whom. .
If reme m recad is difieranl than that of appliptY, intlimte below:
Narre or rt�t�gee o. c«nraa sd�er }� �,�
i _L ,( .�'A
Address d mortgagee a aonUaA seller (nunber arM streeG dty, stafe.
Name ot ass9nae n uher avner w hdder of mwtgage
nddress or assignee (rxmbe. end sr,eet car. s�efe. ara z�a code)
Oces appliont am property in a�ry adha If yas, whal mmt�?
couNy in Indiare7 "
❑Yes ❑ No
Deductian apprwed in �he amount of:
rii=����i
I/ We certiy un(ie% the p
Indiana and own�f ot me
Signa4ue (ownels MI nams)
�
�
Whal Taang DisUicll
COUNTYAUDROR
2b _ � 20
Is Ne pope�ty in queslim:
❑ R�� �„ O Modle Hortie pC 61.
Has �fc deduaion been requested on piaperiy
ta artait yea/?
❑ Yes ❑ No
20
Date (mmlh. daY. YeeA
20
ihal the above and foregoing infortnation is true and corted and ihat the appGranfs vras l were a resident of
ProP�Y on March 1, 20 _
- /DO �
Pw,�r or uwirey « ny ic ��.�-iz-.o�
ndd.�s af euunr¢ed persm (num6e. and srreet dr: sfate, aw