HomeMy WebLinkAboutMortgage_Sweeney (2)� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
,. , FOR DEDUCTION FROM ASSESSED VALUATION
State Fortn d3709IR11 / 6-09)
S ` Presaibed M DeP��M af Lo�ai GovemmeM Firance '
� I
INSTRUCTIONS: ��
b be filed in person w by mad with the Co�nryAuditor or Counry Recorder o/ fhe county where the poperty is bcated- L U I U
Fitirg Dates: 1) Real Pmperty: Musf file dunrg fhe year for which the deducfion is soughG Counry AudiNr
2J Mobde / ManufaUured Homes not assessed as Real Property Must file dunrg Me fweNe (72J months
before March 31 of each year the deduction is saght �^ e��
/ ,�S
See reverse siCe (or addilional instrt�cUOns arM qual�xations.
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a ol Mafthal, aartent ct inde
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an Nai W aOP��t 6Nkaffi 6elow:
Na f rtnrtgagi.re or mntract seAer
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Pddress of nn 9� ar mntrad srd
r�an,a m essignee «omg awner a r
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Pddress oi assignee (numAer ad stree4 �: siete. entl LP mtle)
Ooes appfipnt rnm propeM1y in any oMer If yes. whet munt/+
munry in Ind'ona? r-� ., f.11%..
approved in tlre amount at
20 _ � 20 � 20
I/ We certfy uMu ihe penalty of
owner I mn4acY Duyer ot �he xtai
RemrC numDc
eZ�
ss unpaid as N Monga9e / Contraa cWebieO� unpald as W I
Eate of appGtation �
rc owme xim wn,mre ahe� aw, spa,se. �erate wa, �w,o
�s w�m � o�
RealPfoperty Q.
Papenumbu
�RaWe oxnM
Yes ❑ No
rc"–'=s •
s��Ny ��: ,e�� m
,�,T� o34/D-� U9�
��y�y8�'
20— � p— � p— � 20
that Ne above and foregoing infwmalion is We and cortect and that the appGrant is a resident of Indiana aM
ned property on date application is filed. �
Date (rtionrh. deY. Yea�
(monlh. daY. Y��
Pddr� of aW�orrsEd persm (numDalaM sbeeL �dY, stafi. aM Z!P wde)