HomeMy WebLinkAboutMortgage_Stephens (2)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun 7ownship Year
_. FOR DEDUCTION FROM ASSESSED VALUATION
• State Fortn d3709 (R77 / 6-09)
S,,,, � Fresvibee M Departmerrc at L«si Crnemmem Firence �
INSTRUCTIONS: �,,�/�
b be filed in person or by mail wifA the CounryAuditor or Counry Recorder o/ Ne counry where the poperty is focat�U'Y F�n�u�1��jN:
Fifig Dates: 1) Real Pmperty: Must file durirg Ne year for which Na deduction is sought. ��nry q�dimr
2) Mobde / ManufeUUred Hortres rrot assessed as Real Properiy: Must file dunrrg the tweNe (12J mo � �
before March 31 0( each year Ne deduction is sought. �� ,� �„ CamtY Recorder
�
SeergygrsesideforaddltionalinstnxtioPseMqualifications. r.iacnu rnii.�T� ��..�r,.,,
O�svuY � ��(X ,� de i �l �' I W -V �0. O i� - � Retad number Page yu�r� �
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oF 2a1 poperty as oi M�r(p� ge/ ContraG' ebtedness unpaid as at Morigaqa / Canttxt intlehtedness unpxk as o! Is Ne epp6ranl Ue sole
Mardi 1. wm�rt Year Mam3� t. a�rteirt � date of aPP�� kgal a eWilaCle awneR
� ❑ Yes ❑ No
rc ro. what is n'a � ner ezae du�e m inceresta u rnn,ee wim smneme whu wn sw�+�. rtia'�ate wim wMn,
tt name m remN a SAlumt Man Nal 01 aPP��� trdirate Debw Is tlx WuG�Y in Queslim: Mnua%ASSessed
� Real ProPBnY ❑ %�^��Y � _
r�ame m �ay� or �caa
(mm�Der end saset crt�: sfa�. aria
owner w holOer of �age
Adtlress at assignee (numDer eM speeG ary, stete,
Ooes epplitlM Own O�GQnY in anY other
munry in Ind'ana? i-'I .."_
Has Ihe dedutbm Eeen reGUnsreE m p'oprity
(orW(renty�R r'1 '" 1"1 .