HomeMy WebLinkAboutMortgage_Stone Investment LLC^•� STATEMENT OF MORTGAGE OR CONTRACTINDEBTEDNESS
__ ; FOR DEDUCTION FROM ASSESSED VALUATION
Stace Fwm <3709 (R71 / 6-09)
� � P(esvibed by De7a�rd of Lopl Gm�emmem F�ance .
INSTRUCT70NS:
To be filed in person or 6y mai! witA Ne CountyAuditor or County Recortie� o/ the county where the property
Fi7ing Dates: 1J Real PropeRy: Must !le dunng the year for whirh the deduction is sought.
2� Mo6ife / ManufacNred Homes not assessed as Real Property: Must 61e dudng Me nveNe (�
before March 37 of each year the deduction is sought.
See reverse side fof additional instructions and qualifications.
AppGCant (owner prgintrart buyer � see restrictio� m reverse vee)
1. ��1 �
If ro, what is his / her exact shara of intemst?
Ii name on remd is dAferent Nan Ihat of appGrant, inCifate bebvr
�9a9�
nloftgagee or
Name of assignee or other owner or hdder of martgage
cGy, sbte,
AEOress of asUgnee (number antl slreet, rlly, slate, aM ZIP cotle)
Dces appli�2nt oxn prope�ty in any oNer If yes. what
c0unty in Ind'ana? �_. �_.
a. f�
unpaid as of
VJhat Ta�dng Oistrid?
a
± ''m'
W
�� u No
15 Me property in puesnon: Mnualtyl�ssesse0
❑ Real ProPertY ❑ Mnually Assessed
Modle Hmie (IC 6
s ihis tledutlion Oeen repuestetl on Property
wrrent yeaR � �
couNrr nuorrott
DeducUOn appwed in the amoun� of:
20 20 _ 20 20 20 _ 20 20
Sigrature N Counry Ntlitnr Counry Date (monM� daY, yza�
I/ We certify urder the penaly of perjury that the above and (oregoing infom�alion is We and corteG antl that the applinnt is a resident of Iridiana arW
er I con cl buyer of the atorementioned property on date appliration is filed.
�uture (o !u9 me) Date (monfh, deY. Year)
iF f appfxant umber antl sUee( tlty, state, artd ZIP cotle)
Person auNO�rzed � d xeyteC Pawer o! AtfwneY or by IC Gt. t-12�.7 Date (monN. tlay, yeah
Y o v►�
P4dress of authorQed person (number antl sbaef, dry, state, aM LP coOe)