HomeMy WebLinkAboutMortgage_Sloan (3)_"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
FOR DEDUCTION FROM ASSESSED VALUATION
$fat9 Fortn d3709 (R71 / 6-09)
� � ResvibeA M DePaNneM of Lo�al Govemmerq Fuiar�ce
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INSTRUCTIONS:
To be filed in person or by mail with the CounryAuditor or County Reoorder of the oounry whe2 (Ae ploperty is bcated.
Fitirg Dates: 7) Real Pmperty Must file dunng Ne year Iw which the deduction is mught.
2) Mo6de / Manuladuied Homes rrot assessed as Real Property: Must file dunrg the hveHe (12) months
6efore March 31 o/each year the deduction is saght.
See reversp side /w additional instructions and quelific�tions.
I aooGam o[ mio-arf burer - see m.5Gia0ons on re si�l
,�,�d����
Memh t. anent year
tt m. what is h's / tcer eraa share o
N name m'emtl e 6R�t Nan tl
Name ot mvtgagee or mntraG uller
i
nddress ot rtq�gagee «rmo-aa seou (m,riee.
�am����ar��e< <�p.
AdCress of astig�ree (number ard stree; ',
any other
Yes
approved N tlro amount of.
No
desaipGOn
-i3-ao�-��l.��v-aa�
�e/ Contrati 4debtedness unpaid as of Mongage I Conbad inCebtetlness
. a�rtent year tlate o( appGra Wn �� G � legal w eQUtlaWe rnmM
�,a8a. I ❑Yes ❑ No
, mdrate wfih whnn
Is Ne propercy in purstion: MnueDy AssesxE
� Real RoPefi' ❑ lvmual�Y Assessed . . _
� CounryAUdimi
J� 2Cour�t�(fj�order
Dek�r
1.�
ciry, s�te. eM LP code)
If yes, what count�t
�
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�Dra��°er \0..... ....... _
� �a i�i........ —
� Card t0. ..........
Nrtut TF D� 4�Y
� 53,2,�ti � ❑ No
20 _ 20 _ 20 _ 20 20 _ 20 20 _
syoawre d co�n,b nwaor ca,mr oa� (�. dar, r>ed
1 I We cerbfy under the penalty of perjury that the above arW foregoing infwmaUon is We and corteG arW that Ne applipnt is a resident of IrWiana and
ovmer I contraG buyer of Ne aforemeirtioned Drope te applicalion is filed.
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