HomeMy WebLinkAboutMortgage_Sweeney"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Year
, FOR DEDUCTION FROM ASSESSED VALUATION
Stata Fortn 03709 (R77 / 6-09)
�,�r PresaiOeE Ey DeC��rd ol LoW GovemmaM Fuw¢e
File M
INSTRUCTIONS: ,J U L
F filed wIN:
To 6e filed in person w by mail with the CountyAUditw or Counry Recorder of Ne counry where the properry is located.
FiNrg Dates: 1J Real Property: Must file durirg the year lor which fhe deductlon is wugh[ ' , unry Audhnr
2) Mo6de / Manulactuled Homes not assessed as Real Property Must Ae dunng Me hveNe (12J mon�yj6 nry Remrder
before March 37 of each year Me daduction is saght. y��
See reverse side lor adQitjonal,instructbns and quayhcations. , GBSON CO
m.
I( name qf iamn7 b tliffemnt tlnn that o/ app�ant, IMkate Eebw.
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Hame al rtqrtBaBee or contrau s�9er
PdCress d � ar
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Dces e�tlM ow, ptp,Mrv,— �
munry in Ind'ana7 /" � '� /
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zo _
Iill
' W rtify u� r Ne penalry ot
wnar / wntract of Me
aoue NOreme)
resdarc // 'i,�
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that the above
%7%
Cy IC 61.142�7
7erson (numbe� aM s�aet �l: s7ate. aM
H
mn1�z.Ta
7�� cMehtedness unpaiC as d�I �e� � oMrt�e(?
❑ Yes ❑ No
someana other �han spouse. u�d'�te wfth whom
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Counry
Is ihe P�nY in auesaon: Mm�ally
❑ Real ProPertY ❑ Nmuailyi
Y�r
`;��
��
Eean raQUesteO at ploperty
zo
intortnatirn is true and cwrec[ arid that tha applinnt is a resitleM ot IMiana aM
ion is filed.
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