HomeMy WebLinkAboutMortgage_Schotter"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
�__ _; FOR DEDUCTION FROM ASSESSED VALUATION
State Form G3709 (R71 / 609) �
�' �w RrsaiEed M �eGartmeiriiri oi Laal GowmmeM Fu�ance
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INSTRUCTIONS:
Fwm fil_ ed with:
To 6e filed in person w by mail with the Co�ntyAud'ROr or Counry Recorder of the counry where fhe properry is located. U�` �� _ q � � �� �
Filing Dafes: 1) Real Property Must fite dunrg the year fo� which the deduction is soughG �dYCOUnry Audhur
2J Mo6de /Manu/auured Homes rwt assessed as Real Property Must h7e dunng the fweNe (12) months
6efore March 37 o/each year Me deduction is sought. ❑� Caunry Recorder
See reverse side tor addit�a! instructions arM qualifications. � � �' �� �
AppGtant(owrerv b r y�suir�onsmre�xrseside) n _ . .. . �6��UNTY AUD�TOR
L9�'�'.v..l^-
If name pt
Name W mortgagee or mntran se0u
Key numGer / lega e;aiption �_/ ��• ��� Remrd number Pape n� 3 3�
0
Mpr(q�ge / intle6tetlness unpaid a d Mortgage / ConSaU iMehtNness impaiE as d Is Me app4snt Ne sok
Mamh 1. ai / V VV Cate of ePP�� legal w eWlHde wmdl
t0 ❑ Yes ❑ No
teresi7 K owned with wmeone oth� tlian sW�. trdicate with whom
,� w �n�yee � m�aac, sen«,r�....---
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Deaua
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D i a��� cr �O ... . .... . �.
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c�,.��o. ����'"'� m�
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20 � 20 _ � 20
i/ We certfy �rWer the pi
amer I contract buyer of
is Cre P�G�Y in purstion: MnuaAy Assessed
� Real PIOPeAY ❑ Armually PSSessed
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COUNTYAUDROR
20 � 20
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Yes ❑ No
20 � 20 —
�IC�.� I�°"���,�,� I ��`�'I��a-��
of perjury th i e above and foregoing infwmation is true and cortecc and fhat the applit�ant is a residerrt of indiara ard
o2mention property an date applipqon is filed.
Date (mwNr. daY• Ym�)
�� W� T�ru�m���d R�
auunRee M d�M euw:ed Pawer W Atmmey
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61.
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