HomeMy WebLinkAboutMortgage_Schneider� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coum
FOR DEDUCTION FROM ASSESSED VALUATION
:• SFAte Fam d3709 (R71 / 6-09)
� Presaibed Dy Departme�ri af Lod GwemmeM Fitw�ce -
wu
INSTRUCTIONS:
To 6e filed in person w by mail witA Ne CountyAuditw or County RecoNer o/ the counry where the pioperty is located.
FiNrg Dates: 1) Real PmpeRy: Must fi!e dunng the year(or which the detluction is soughf.
2) Mo6de / ManWadured Homes not assessed as Real Prt�peRy Must file dunng the tweHe (12J months
befae March 31 0/ each yeur the deducfion is saght.
Sae reverse side for additional insVuctions arM qualifications.
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G1BS�N Cv��..
Remrt1 numbel Page wm0u
, ; -3
btedness unPaid as o! Is Me ap�t the sde
legal or eWttade ameR
❑ Yes ❑ No
wouse. 4Nkate wtth wtnm
is the poperry in 7uesGm: MmieM Aacsud
❑ Re� Pro�env ❑ a,�uanv w�sea
fi � Key rn� / legal desaip .
v
E rapie a( real PoP�Y es of Mw�qag e/ Cantraa'v
, w�au year Matdi 1, artent year
/ ao�
at � h's / tcer emd sAare of inteRSt?
m reartl a Sifterent inan tlut ot aDP��. trdirata oelmr.
rrta�ea«�aaseoc n
Name N assignee w dhei awnu w hoWer ot mortgaga
wm property in any aher
No
ctlon apqwed in tice amount oE
20 _ 20 _
unpaid as ot
eet cdy. 5s�, aM LP code)
LPCade)
If yes. what muntyl
COUNTY
�
20
/
Auditor
Remder
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539
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Pi�]
�P�Y
p_ � �_
�faMe d Coimb AuGimr I Counry I Data (month, daY. l��
I I We certify under the penalry of perjury Mat the above and toregoing intortnadon is we and cortecc and that Ne applipnt is a resident of I�iana aM
owner Itontract buver of Ne aforemerrtoned property on date application is filed.
s7ate, and ZfP
py AWy esewteE Power of AuaneY a �'/ IC 61.7-12-0.7 I Date (manM. dfi: Yea�
zed person (numbe� aiM straet �: sb(e, and ZIP code) .